Application Form

Equal Opportunity Employer - It is our policy to abide by Federal and State laws prohibiting employment discrimination solely on the basis of person's race, color, creed, national origin, religion, age, sex, marital status, sexual orientation or physical or mental disability except where a reasonable, bona fide occupational qualification exists.

Personal Information

Section 1 - General Information

Section 2 - Employment Verification

Section 3 - Education

Section 4 - Other Training: Certifications/Licenses

Section 5 - Current Employment

Section 6 - Employment History

Section 7 - Reference 1

Section 8 - Reference 2

Section 9 - Emergency Contact Information

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge.  I understand that if I am employed by Lynn & Darla LLC, false statements on this application shall be considered sufficient cause for disqualifying me from further consideration for employment and may be considered justification for dismissal.

Lynn & Darla LLC is hereby authorized to make any investigations of my prior education and employment history. I understand that Lynn & Darla LLC may obtain and/or investigative consumer report for employment purposes that may include information regarding prior employment, work experiences and performance, reason for reemployment termination and information as to character, general reputation, personal character and mode of living.  This report may also contain checking driving records, criminal, credit, education, degree, professional license and or certification records depending on the position.  By signing on this application I authorize the procurement of a consumer and/or  investigative consumer report by Lynn & Darla LLC as part of the pre-employment background investigation and if hired at any time of my employment.

I understand that employment at this company is "at will" which means that either I or this company can terminate the employment relationship at any time, with or without prior notice and for any reason not prohibited by statute.  All employment will continue on that basis.  I understand that no supervisor, manager or executive of this company, other than the president has the authority to alter the foregoing.