Application for Employment

Applicants for employment are considered without regard to race, color, religion, sex, protected sexual orientation, marital status, veteran's status, national origin, ancestry, age or handicap. Also it is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

* = Required


Personal Information

Address

(According to Federal Law, Work authorization documentation
will be required upon employment.)



Work Availability: To help us consider you for a job that matches your availability please let us know what days and hours you can work each day.


REFERENCES: Give name, address and telephone number of three references who are not related to you and are not previous employers.



Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. We are asking you to tell us if you have a disability or if you ever had a disability. Completing this section is voluntary, but we hope that you will choose to fill it out. Any answer you give will be kept private and will not be used against you in any way.

You are considered to have a disability if you have a physical or mental impairment that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job.


Start with your present or last job. Include military service assignments and any verified work performed on a volunteer basis. Exclude organization name which indicate race, color, religion, sex or national origin.

Dates Employed


Dates Employed


Dates Employed



Education


It is my understanding that this employment application, or the granting of an oral interview, does not represent a contract of employment or a promise of future benefits by this company/organization. I understand and agree that if hired, my employment will be at-will in nature and may be terminated, with or without cause, at any time, by either myself or employer. I also understand that this written statement supersedes any and all oral representations made by agents or representatives of this company/organization.

AGREEMENT: I certify that the information on this application is true, complete and correct. I authorize Polar Beverages to investigate my past employment, education and activities and I release from all liability all persons, companies and corporations supplying such information. I understand that false answers, statements or significant omissions made by me on this form shall be sufficient cause for denial of employment or discharge.

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