– Employment Application

Personal Information

Name *

First

Last

Phone # *

Email Address *

Current Address *

Address Line 1

Address Line 2

City

State

Zip Code

Since Mo/Yr//

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Since Mo/Yr//

Education

High School Attended *

City *

State *

Did you earn a diploma? *

If not a high school graduate, do you have a G.E.D?

College Attended

City

State

Number of years completed

Did you graduate?

Type of degree

Vocational, Trade, or Business School Attended

City

State

Course of study

Degree/Certificate/Diploma Attained

Applicant's Certification Agreement

I authorize the investigation of all statements contained in this application and release from all liability any persons or employers supplying this information, and I also release the company from all liability which might result from making the investigation. *

I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omission of facts on this application (or on any required documents) may result in denial of employment or immediate termination of employment, regardless of when or how discovered. *

I understand that any offer of employment is contingent upon my passing a pre-employment drug screen. *

I agree, if I am offered and accept a position, to conform to all existing and future Company rules and regulations and I understand that the Company reserves the right to change wages, hours and working conditions as deemed necessary. I ALSO UNDERSTAND THAT, IF HIRED, MY EMPLOYMENT WILL BE AT- WILL, MEANING THAT EITHER PARTY CAN END THE EMPLOYMENT RELATIONSHIP AT ANY TIME AND FOR ANY OR NO REASON. *

I understand that any employment offer is contingent upon my providing, within three (3) working days of employment, valid proof of identity and eligibility to work in order to comply with the Immigration Reform and Control act of 1986. *

I agree that any action or suit against Lyons Company arising out of any employment or termination of employment including, but not limited to, claims arising under the State or Federal civil rights statutes, must be brought within one year of the event giving rise to the claim or be forever barred. I waive any statute of limitations to the contrary. *

I have read and reviewed the information provided in this application and the above statements. By signing this application for employment, I certify that I understand all parts of it and have answered all questions completely and fully. *

Resume Upload

Click or drag a file to this area to upload.

If you have a resume to submit along with your application, please upload it here.

Signature *

Date *

Office Position Application

Personal Information

Education

General Information

Employment History

Skills Information

Applicant's Certification Agreement