Application Note: This application form is intended for the use of evaluating your qualifications for employment.
This is not an employment contract. Please answer all appropriate questions completely and accurately.
False or misleading statements during the interview and on this form are grounds for terminating the application
process or, if discovered after employment, terminating employment. All qualified applicants will receive
consideration without discrimination because of gender, marital status, pregnancy, religion, race, age, creed,
national origin, presence of disabilities, sexual orientation, genetic screening or test information, refusal to
submit to a genetic test, ancestry, AIDS or HIV, and on any other status protected by law.