Employment Application

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, disability or national origin. Consistent with the Americans with Disabilities Act, applicants may request accommodations needed to participate in the application process.

Click here to download a PDF version of our application

PERSONAL INFORMATION

Physical Address

Mailing Address

Other Information

YesNoYesNo

EMPLOYMENT DESIRED

YesNoYesNo

YesNo

EDUCATION

High School


YesNo

College/University


YesNo

Trade, Business or Correspondence School


YesNo

GENERAL IINFORMATION

EMPLOYMENT HISTORY

Enter your last four employers, starting with your the last one first.

Most recent employer


Previous employer


Previous employer


Previous employer


REFERENCES

First Reference

Second Reference

Third Reference

If you are to be hired by Vastco, Inc, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired by Vastco, Inc. if you cannot comply with these requirements.

AUTHORIZATION

I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by Vastco, Inc.

I understand that any employment is conditioned on a background check. I authorize Vastco, Inc. to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to Vastco, Inc., without giving me prior notice of such disclosure. In addition, I release Vastco, Inc., any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand and agree that nothing contained in this application, or conveyed during any interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or without cause and without prior notice, at the option of either myself or Vastco, Inc. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon Vastco, Inc. unless made in writing.

If I am offered employment I agree to submit to a medical examination and drug test before starting work if so required. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by Vastco, Inc. and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to Vastco, Inc. the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by Vastco, Inc.'s Drug and Alcohol Policy.

I understand that filling out this form does not indicate there is a position open and does not obligate Vastco, Inc. to hire. If hired, I agree to abide by all company work rules, policies and procedures. Vastco, Inc. retains the right to revise its policies or procedures, in whole or in part, at any time.

Voluntary Survey

Government agencies require periodic reports on the sex, ethnicity, handicapped and veteran status of applicants. This data is for analysis and affirmative action only. Submission of this information is voluntary.

Gender:
Veteran status (Check any box that applies to you): VeteranDisabled Veteran

If you answered YES to being a veteran, do you have 'protected' status? A protected veteran is:
1. A veteran who was an active duty wartime or campaign badge veteran;
2. A disabled veteran;
3. An Armed Forces service medal veteran; and
4. A recently separated veteran (separated from active duty within last 3 yrs).

Campaigns Served:
Protected Status: I am a Protected VeteranThis does not apply to me
Ethnicity:

Applicant Statement of Authenticity and Understanding

I certify that the answers given herein are try and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand and acknowledge that any employment relationship with this company is of an "At Will" nature, which means that the employee may resign at any time and the employer may discharge employee at any time with or without cause. It is further understood that this "At Will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized officer of the company. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the company.

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