Application for Employment 

Hi, we’re glad you’re considering our company and we look forward to learning about you and your career interests.

We’re committed to offering a work environment that is rewarding, friendly & fair ... we are an Equal Opportunity Employer and operate in accordance with Title VII of the Civil Rights Act of 1964; race, color, religion, age, sex, national origin, veteran status and disability are prohibited from influencing employment, promotion and compensation decisions.

So go ahead, fill out the information below, we’d love to explore opportunities with you!

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Employment History

Please list employment for the last 10 years, starting with your current or most recent position. Complete the first group of questions even if attaching a resume. Please Note: Deliberate failure to list an employer will be considered falsification of your application and will provide a basis for your not being considered further for employment, or for the termination of your employment if the omission is discovered after you are employed.

Current / Most Recent Employer

Previous Employer 1

Previous Employer 2

Previous Employer 3

Previous Employer 4

I certify

that the information stated on this application is true and complete to the best of my knowledge and that I have withheld nothing that would reflect unfavorably upon me. I understand that if hired, any false statements or omissions on this application could result in my immediate termination.I hereby authorize R.K. Black, Inc. to contact my previous employers. By signing below, I expressly authorize my prior employer(s) to provide information regarding my employment, my performance, my separation from the company, and any other matters they deem relevant. I expressly release my prior employer(s) from any liability for any information provided in connection with my prior employment as long as it is provided in good faith and is reasonably believed by my prior employer(s) to be true.

I understand that my employment is “At Will”, and that the employer / employee relationship can be terminated at any time with or without prior notice. I acknowledge that I have read, understand and accept the above statements.