North Brevard: 321-267-8287 | South Brevard: 321-725-9355




Please Fill Out Application

Proceed to the Application for Employment Process below



Personal Information


Yes No
Yes No

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offence. The date of the offence, the nature of the offence, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offence to the position(s) applied for may, however, be considered.)
Yes No

Employment Desired


Sunday Monday Tuesday Wednesday Thursday Friday Saturday


Yes No
Yes No
Yes No
Yes No

Education History



Name and location of school.
Yes No


Name and location of school
Yes No


Name and location of school
Yes No

General Information



Former Employers


(List below the last four employers, starting with the most recent.)




















References


(Give below the names of three persons who you have known at least one year.)



Attachments


Accepted file types: pdf, rtf, txt, jpg, gif, and png.


Authorization


"I certify that the facts contained in this application are true and accurate to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers 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 the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waver does not permit the release or use of disability-related or medical information in any manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

I understand that consumer credit report or criminal records checks may be necessary prior to may employment. If such reports are required, I understand that, in compliance with federal law, the company will provide me with a written notice regarding the use of these reports and will also obtain a separate written authorization from me to consent to these reports. I also understand that a poor credit history or conviction will not automatically result in disqualification from employment."

In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.