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Apply at Ebels General Store

Store Location

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Applicant Information

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Emergency Contact Information


Position You're Applying For

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If hired, what day are you available to start work?




Have you ever been employed here before?


Military Experience?


Did you graduate, or are you currently enrolled in High School?

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Did you graduate College or obtain a higher education?

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Please indicate any current professional licenses or certifications that you hold:

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Present or Last Employer:







Last employer end date

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Reason for leaving:

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Describe your work in detail:


Can you provide written evidence of satisfactory employment with this employer?

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Are you eligible to work in the US?

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Have you ever been convicted of a felony?

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Have you ever been convicted of a drug-related crime?

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Do you have a valid driver's license?

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Has your driver's license ever been suspended?

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List any moving violations during the last three (3) years:

Are you at least 18 years old?

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Have you applied for employment with this company before?

Are you bound by any agreement with any current employer?

Will you retain other employment or self-employment, if hired by us?

Do you know, or are you related, to any current associate?

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Were you referred by a current employee of Ebels

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How did you learn of this vacancy?

First reference:

Second reference:



I certify that all of the information furnished on this Application is true, complete and correct. I understand and agree that any falsification, misrepresentation or omission of fact either on this Application or during the pre-hire process will be reason for (1) my not being offered employment or (2) dismissal at any time from the service of the Company if employed. All information supplied by applicant is subject to review and verification by the company. I understand and agree that my employment and compensation are for no definite period, and may, regardless of the time and manner of payment of my wages and salary, be terminated at any time by me or the Company, with or without cause, and without any previous notice. I also understand and agree that the Company has the right to unilaterally modify and/or terminate any policies, practices, procedures and standards it has adopted or implemented, to the extent not limited by law. I acknowledge that no Company employee or representative, other than its President, has either the power or authority to enter into any agreement for employment for any specified period of time, or to make any representations or agreements contrary to any of the foregoing, unless that agreement is in writing and signed by the President of the Company. I understand that any prior representations, promises, contracts or statements made by or on behalf of the Company are expressly superseded by the foregoing. The Immigration Reform and Control Act of 1986 states that employers must require all persons hired to submit documents to the employer showing their identity and their right to be lawfully employed in the United States. It also requires that the employee complete and sign a government form to this effect. If hired by Ebels Family Center, I agree to provide appropriate documentation within three (3) working days of employment. I understand that the Company has a Prohibited Substances policy, and that use of alcohol, illegal drugs, prescription drugs and controlled substances that may impair judgment, including medically prescribed marijuana, are all prohibited at work. Offers of employment are conditional upon results of post-offer screening. Once hired, substance screening is given post- injury, random, and when there is reasonable suspicion. Positive screen results may result in discharge. I authorize and hold harmless my references and prior employers to fully disclose information about employment while employed with them, including performance reviews and ratings, pay rates, attendance record, job duties, safety record, and eligibility for rehire. I certify that all information provided by me on this application is true, complete and correct to the best of my knowledge and belief.

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