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Summers Manufacturing Co., Inc. Employment Application
103 Summers St. NW ยท Devils Lake, North Dakota 58301
We consider applicants for all positions without regard to race, color, religion, national origin, age, disability, veteran status, or any other legally protected status.

Personal Information

Are you over the age of 18 ? *
Have you ever been employed with us before? If Yes give a date. *
Have you ever filed an application with us before? if Yes give a date. *
Do any of your relatives work here? If yes, state name, relationship, and location. *
Have you ever been convicted of a felony? *
Are you prevented from lawfully becoming employed in this country because of Visa or Immigration Status? *

Employment History

Employer 1

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Employer 2

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Employer 3

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Reference 1
Reference 2
Reference 3



Applicant Statement

I certify that the answers given herein are true and complete.

I authorize investigations of all statements contained in this application for employment as may be necessary in arriving at an employment decision

This application for employment shall be considered active for a period of time not to exceed one year. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at-will" nature which means that the Employee may resign at any time and the employer may discharge an employee at any time with or without cause. It is further understood that this "at-will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also that I am required to abide by all rules and regulations of the employer.