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APPLICATION FOR EMPLOYMENT

We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs are available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the organization.

When finished, Submit by email or Print and drop off at any Northwoods location to HR Dept.


Full Time Part Time Temporary

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Employment History

Please provide all employment information for your past 3 employers start with the most recent.

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From: To: Salary:



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Other Skills and Qualifications



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Education History

List school name and location, years completed, course of study, and any degrees earned:



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References

NamePhone NumberYears KnownRelationship

I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and it’s representatives for seeking, gathering, and using such information to make decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time; there is no violation of applicable federal or state law.

I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person’s need for a reasonable accommodation as required by the ADA.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.


I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions

Applicant Signature:______________________________________________
Date:________________________________________



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