We are an Equal Opportunity Employer and fully subscribe to the principles of Equal Employment Opportunity. Applicants and/or employees are considered for hire, promotion and job status, without regard to race, color, religion, creed, sex, marital status, national origin, age, physical or mental disability.
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Date of Application:
Address:
Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodation? ---YESNO
If yes, explain below:
Last grade completed: ---123456789101112College - 1st YearCollege - 2nd YearCollege - 3rd YearCollege - 4th YearBachelors DegreeMasters DegreeDoctorate
Salary Requirements
$ per hourper month
State fully why you believe you qualify for this position:
Starting with your PRESENT or MOST RECENT EMPLOYER list in consecutive order ALL EMPLOYMENT for at least the past FOUR employers. If currently employed, may we contact your employer? ---YESNO
Title of Your Position
READ CAREFULLY: I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.
Signature: Date:
5606 N. 81 Highway, Enid, OK 73701
Phone: 580.234.3434
Mobile: 800.299.4300
Fax: 580.234.3400
Email: We would love to hear from you