APPLICATION for EMPLOYMENT

PERSONAL DATA

Date: 3/11/2010
Select a Job:
First Name: Middle Name:
Last Name:
Address: (Optional)
City State: Zip:
Social Security No. Email Address:
Phone No: (999-999-9999) Cell Phone No:
Are you either a citizen of the US or an alien who has the legal right to work in the United States?

(you will be required to furnish proof of lawful work status if you are extended a job offer.)

DAYTON T. BROWN DOES NOT DISCRIMINATE IN EMPLOYMENT BECAUSE OF SEX, AGE, RACE, COLOR, RELIGIOUS CREED, MARITAL STATUS, NATIONAL ORIGIN, ANCESTRY, CITIZENSHIP, UNFAVORABLE DISCHARGE FROM MILITARY SERVICE OR DISABILITY, AND ANY OTHER PROTECTED CLASSIFICATION. THE COMPANY WILL CONSIDER REASONABLE ACCOMMODATIONS TO THE KNOWN PHYSICAL, MENTAL OR OTHER IMPAIRMENTS OF OTHERWISE QUALIFIED APPLICANTS TO ENABLE THEM TO PARTICIPATE IN OUR APPLICANT SCREENING PROCESS AND TO EFFECTIVELY PERFORM THE ESSENTIAL FUNCTIONS OF THEIR JOBS, UNLESS DOING SO WOULD IMPOSE AN UNDUE FINANCIAL OR OPERATIONAL HARDSHIP.


© 2010 Dayton T. Brown, Inc. All rights reserved.