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Application for Employment

Equal access to programs, services and employment opportunities is available to all persons without regard to age, ancestry, citizenship, status, color, physical or mental disability, genetic information, marital status, military status, national origin, race religion, sex(including pregnancy), sexual orientation, or any other basis protected by federal, state, and /or local law. In accordance with the Americans with Disabilities Act and/or applicable state and local laws, applicants requiring reasonable accommodations for the application and/or interview process should notify the Human Resources Department. Examples of reasonable accommodations include making a change to the application process; providing written materials in an alternate formate such as braille, large print, or audio recording; using sign language interpreter; using specialized equipment; or modifying testing conditions.
e.g., Walk-In, Job Posting, COmpany's Website, etc.
AM or PM
AM or PM
$_________________________________________Per__________________________________________
This question is not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accommodations, or whether accommodation is necessary. These issues may be readdressed at a later stage to the extent permitted by law.