Opening Hours

Tuesdays through Saturdays

Location 2118 Schotthill Woods Jefferson City


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Applicant Information

MM slash DD slash YYYY
Are you seeking a new job currently?
How did you find this job:
If Hired, Do you have a reliable means of transportation to get to work?
Are you 18 years old?
if you are under 18, Can you furnish a work permit?
MM slash DD slash YYYY
Are you Legally Eligible for employment in the U.S.?
Have you been convicted of a crime? (Massachusetts applicants should not include misdemeanor convictions; California applicants should not in- clude marijuana-related convictions that occurred more than 2 years prior to the application date.)
Are you a veteran?

Employment Information

What type of employment are you seeking?
are you willing to work:
Are you currently employed?
Have you worked for this organization before?
Have you ever been discharged or asked to resign from any position?

Education (circle highest level achieved)

If in high school, are you enrolled in a recognized co-op program?

Work History

Job #1

Job #2

Job #3

For references purposes: Have you worked for any of these organizations or attended school under a different name?
May we contact the employers listed above?

Authorizations & At-Will Employment Agreement

I certify that I have personally completed this application. I declare that the information provided in this employment application is true and complete and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification form my dismissal from employment if discovered at a later date. I agree to immediately notify this company if I should be convicted of a crime while my job application is pending or during my employment, if hired. I authorize this company to make an investigation of all information contained in this employment application and I release from liability all companies and corporations supplying such information. I understand any false answers, statements, or implications made by me on this application or other required documents shall be considered sufficient cause for denial of employment or dis- charge. I specifically authorize and direct my current and former employers to supply employment-related information to this company and do hereby release my current and former employers from liability for providing information to this company. Upon termination of my employment for whatever reason, I release this company from all liability for supplying any information concerning my employment to any potential employer. I authorize this company, if applicable, to request a copy of my credit report, motor vehicle driving record, and any other investiga- tive report deemed necessary through various third party sources. As required by law, upon request within a reasonable period of time, I will be notified as to the nature and scope of such investigations. I hereby agree to submit to any drug test required of me, whether prior to my employment or if employed by this company at any time thereafter. If requested, I will take a post-job offer physical examination and my employment, in the event I receive medical treatment for any condition, including a physical, psychological, emotional, or psychiatric condition that is job-related, I hereby authorize the limited release and exchange of such medical information relating to my condition between the treatment provider and a company-designated physician. AT-WILL EMPLOYMENT AGREEMENT I understand and agree that nothing contained in this application, or conveyed during any interview is intended to create an em- ployment contract between the company and me. In addition, I understand and agree that if you employ me, in consideration of my employment, my employment and compensation will be at-will, for no definite period of time, and may be terminated at any time, for any reason, or for no reason at all. I understand that only the company’s President is authorized to change the employment-at-will status and such a change can only be done in writing. I have read, understand, and agree to the above.(Required)