(Please provide days and hours that you are available to work)
Start with your current or most recent job. Include any job-related military service
assignment and volunteer activities. You may exclude organizations which
indicate race, color, religion, gender, national origin, disabilities or other
(Please list the salary range you are requesting)
(Give name, address and phone number of three references who are not related to you )
I certify that answers given herein are true and complete to the best of my
I authorize investigation of all statements contained in this application for
employment as may be necessary in arriving at an employment decision.
I understand this application for employment shall be considered active for
a period of time not to exceed 45 days. If I wish to be considered for employment
beyond this time period, I should inquire as to whether or not applications are
being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by
applicable law, any employment relationship with this organization is of an "at will"
nature, which means that the Employee may resign at any time and the Employer
may discharge Employee at any time with or without cause. It is further
understood that this "at will" employment relationship may not be changed by any
written document or by conduct unless such "at will" status is specifically changed
in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading
information given in my application or interview(s) may result in discharge. I
understand, also, that I am required to abide by all rules and regulations of the
If you would like to also send us a resume, references, or any other written documents for us to consider, please complete this web page application first, and then fax those documents to: (703) 766-6178