AGRA Companies Application for Employment

As an Equal Opportunity Employer, this organization does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, or veteran status.  All information provided in this application will be treated confidentially and will be used only to help ensure the best use of your abilities if we employ you.

First Name: * Last Name: * Address: * City: * State: * ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Zip: * Phone Number: * Cell Number: E-mail Address: * Best Time to Reach You: * Morning Afternoon Evening Night Postion Applying For: * Available Start Date: * Highest Level of Education: * Primary School High School Diploma Some College Bachelors Degree Graduate / Masters Degree If you earned a college degree, please list the major: Previous Employer #1: Dates Employed: Supervisor Name: Phone: Job Duties at Previous Employer: Previous Employer #2: Dates Employed: Supervisor Name: Phone: Job Duties at Previous Employer: Please paste your cover letter into the following box: Please paste your resume into the following box: Additional Information: Attach Resume File: Verification Code: Enter Verification Code: * * Required

• I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that falsified information or significant omissions may disqualify me from further consideration for employment, and may be considered justification for dismissal if discovered at a later date.
• I authorize person(s), schools, my current employer (if applicable), and previous employers and organizations named in the application (and accompanying resume, if any) to provide any relevant information that may be required to arrive at an employment decision, and release all parties from all liability for any damage that may result from furnishing same to you.
• This application is not a contract and cannot create a contract.  I understand that my employment can be terminated with or without cause, at any time, at the discretion of either the company or myself.  I understand that no management official, other than the Chief Executive Officer of the company, has any authority to enter into an agreement contrary to the foregoing, or make any oral assurance or promise of continued employment.
• I understand this application will be kept in the active files for a period of six months from the date indicated below.  I further understand that if I am not hired during that period, I must complete and execute a new application form to be considered for future employment.