Employment Application

Alvord-Polk is committed to excellence, both now and in the years to come. Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap or veteran status.

Personal Data

Educational History
Grammar School

High School



Membership in professional or civic organizations: (exclude those which may disclose your race, color, religion or national origin)

Employment History

Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.

Military Service

Employer 1

Employer 2

Employer 3

Employer 4

Reference 1

Reference 2

Reference 3

The information provided in this Application for Employment is true, correct and complete. If employed, any misstatement or emission of fact on this application may result in my dismissal. In consideration of my employment, I agree to conform to the rules and regulations of the Company and my employment and compensation can be terminated, with or without cause, at any time, at the option of the Company or myself. If required by the Company, I agree to undergo a pre-employment physical (including drug testing).