Standlee Hay Company is an equal opportunity employer.
No action can be taken on this application until all questions have been answered
fully and accurately.
All information given will be available only to persons who have a “need to know”
or as required by law.aw.
This company will make reasonable accommodation in the application process, if needed.
Your application will be kept on file for 30 days.
If you wish to still be considered for employment after this time, a new application
will need to be submitted.
Have you ever been convicted of a felony?
If yes, explain:
Applicants and employees are treated without regard to race, color, religion, gender,
national origin, age, veteran status, disability or any other legally protected
status during every aspect of the employment process.
As employers and government contractors, we comply with government regulations and
affirmative action responsibility. Solely to help us comply with affirmative action
record keeping, reporting and other legal requirements, please complete the survey
below. This information will not be used for hiring, placement, or other decisions
related to the terms and conditions of employment. This document will be kept in
a confidential file, separate from applicant and personnel files.
Your cooperation is voluntary. Inclusion or exclusion of any data will not
affect any employment decision.
American Indian or Alaska Native
Hispanic or Latino
Black or African American
Hawaiian Native or other Pacific Islander
- White (Not of Hispanic origin) All persons having origins in any of the original
peoples of Europe, North Africa, or the Middle East.
- Black or African American- All persons having origins in any of the Black racial
groups of Africa.
- Hispanic or Latino- All persons of Mexican, Puerto Rican, Cuban Central or South
American, or other Spanish culture or origin, regardless of race.
- Asian or Pacific Islander- All persons having origins in any of the original peoples
of the Far East, Southeast Asia, the Indian Subcontinent, or the Pacific Islands.
This area includes, for example, China, India, Japan, Korea, the Philippine Islands,
- American Indian or Alaskan Native- All persons having origins in any of the original
peoples of North America, and who maintain cultural identification through tribal
affiliation or community recognition.
no US Veteran:
no Disabled US Veteran:
Armed Forces Service - Medal Veteran:
no -- Newly Seperated:
Disclaimer and Signature
This Employment Application is used to notify me that the nature and scope of an
investigation, if one is conducted, could include such general identification information
as residence verification, and as applicable, information concerning my employment,
education, general reputation, character, personal characteristics, and habits.
This information may be developed through personal interviews with third parties
such as family members, neighbors, friends, associates, former employers, educational
institutions, and custodians of official records or other sources. Only job related
information developed from such a report will be considered in evaluating my employment
application or continued employment. I hereby authorize these persons, companies,
organizations or corporations to answer all questions or release any information
regarding the items listed in this paragraph. I hereby release them fro any liability
and hold them harmless from any claim for releasing any truthful information within
their knowledge and/or records.
I authorize Standlee Hay Company to release to any person, firm, entity or organization
with which I may seek future employment, any truthful information concerning my
work experience with the Company. I hereby release and hold the Company harmless
from any claim for releasing any truthful information within its knowledge and/or
I understand that any job offer that may be extended to me may be contingent upon
the successful completion of a drug and alcohol test.
I certify that the answers given by me to the foregoing questions and during any
interview are true and correct without consequential omissions. I understand that
if employed omissions and/or false statements on this application or during any
interview may result in dismissal. I understand and acknowledge that if hired, my
employment is for no definite period and either the Employer or I may terminate
our relationship at will at any time, without notice or for any reason. This employment
application does not constitute an employment contract between me and the Company.
I have had an opportunity to have my questions about this statement’s content and
intent answered. I understand its terms and agree to them.
Signature (Type Your Full Name)