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APPLICATION FOR EMPLOYMENT
Equal Employment Opportunity Employer

General


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Job(s) you are applying for







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FULL-TIME
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OVER-TIME
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This company is an equal employment opportunity employer. All applicants will be considered without regard to age, color, national origin, religion, disability, sex or other protected status in accordance with applicable federal and state equal employment opportunity laws. This company will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential functions of a job.

Education & Training


High School Attended

College Attended

Additional Training

Special Skills, Qualifications, and Considerations


References
List three (3) non-relatives who are familiar with your qualifications, work history and ability.




Employment Experience
Start with your present or last job. List your last four (4) jobs in order. Do not omit any job.





Additional Information


Annexes



PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THIS STATEMENT, PLEASE ASK THEM BEFORE SIGNING.

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Disclaimer & Signature
By signing below, I authorize LANG DIESEL INC.to investigate all statements contained in this employment application as they may deem necessary in arriving at an employment decision. I further authorize LANG DIESEL INC. to order one or more consumer reports containing financial, driving record, and/or other information about me from a consumer reporting agency.I understand that the consumer report(s)will be requested and used for the purpose of evaluating me for employment, promotions, transfers, and / or retention as an employee.


Please only hit the Apply button once. A confirmation page will appear once your application has been submitted successfully.

This application is valid for only ninety (90) days from the date I signed. If I want to be considered for job openings more than ninety (90) days from date signed, I will submit a new application.