Belle Fourche
Hot Springs
Ft. Pierre
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Full Time Part Time Temporary

EMPLOYMENT EXPERIENCE: Start with your present job or last job. Include military assignments and volunteer activities, Exclude organizational names that indicate race, color, religion, sex, or national origin.

Please include Schools/Colleges Attended; # of Years; Year graduated; Degree

I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for employment as may be necessary in employment decision.

I understand that this application is not intended to be a contract for employment. In the event of employment, I understand that false or misleading information given on my application or interview may result in termination.

The Company does not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment. I understand it is the Company's policy not to refuse to hire a qualified individual with a disability because of that person's need for a reasonable accommodation as required by ADA.

This application remains active for one year. At the conclusion of such time, if I have not heard from the Company and still wish to be considered for employment, I understand it will be necessary to fill out a new application.

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