Cook

North Mesa, AZ

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Contact Information

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Additional Information

Criminal History

Voluntary Self-Identification

Qualified resume submissions are considered for employment without regard to race, religion, sex, national origin, marital status, sexual orientation, veteran status, or disability. Completion of this form is VOLUNTARY and your failure to complete it will NOT preclude you from employment consideration. This information will be kept in a confidential file separate from your resume.

Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.
Black or African American (Not Hispanic or Latino)
A person having origins in any of the black racial groups of Africa.
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.
Two or More Races (Not Hispanic or Latino)
Persons who identify with two or more race/ethnic categories named above.
Hispano o Latino
Una persona de cultura Cubana, Mexicana, Puertorriqueña, América del Sur o Central o de otra cultura hispana u origen independiente de la raza.
Indígena Americano o Nativo de Alaska (No Hispano o Latino)
A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.
Asiático ( No Hispano o Latino)
Una persona con su origen en cualquiera de la gente del Oriente Medio, Sudeste Asiático o el Subcontinente Indio incluyendo, por ejemplo, Cambodia, China, India, Japón, Corea, Malasia, Pakistán, las Islas Filipinas, Tailandia, y Vietnam.
Negro o Americano Africano (No Hispano o Latino)
Una persona con su origen en cualquiera de la gente original de la América del Norte y del Sur (incluyendo la América Central) y que mantenga una afiliación tribal o asociación comunitaria.
Nativo del Hawái o de Otras Islas del Pacífico (No Hispano o Latino)
Una persona con su origen en cualquiera de la gente de Hawái, Guam, Samoa, u otra Isla del Pacífico.
Blanco (No Hispano o Latino)
Una persona con su origen en personas de Europa, Oriente Medio o África del Norte.
Dos o más razas (No Hispano o Latino)
Persons who identify with two or more race/ethnic categories named above.

Veteran Status

Please check the box next to any of the following items that apply to you. You are considered a "protected veteran" under Section 4212 if you belong to one of the categories of veterans described below

Disabled Veteran
A veteran who served on active duty in the U.S. military and is entitled to disability compensation (or who but for the receipt of military retired pay would be entitled to disability compensation) under laws administered by the Secretary of Veterans Affairs, or was discharged or released from active duty because of a service-connected disability.
Other Protected Veteran
A veteran who served on active duty in the U.S. military during a war, or in a campaign or expedition for which a campaign badge was authorized under the laws administered by the Department of Defense.
Recently Separated Veteran
A veteran separated during the three-year period beginning on the date of the veteran's discharge or release from active duty in the U.S. military.
Armed Forces Service Medal Veteran
A veteran who, while serving on active duty in the U.S. military, participated in a U.S. military operation that received an Armed Forces service medal.

Candidate Acknowledgment

The information that I am submitting in this application is true and correct. I understand that in the event of my employment by the Company, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery.

I authorize the Company to inquire into my educational, professional and past employment history and references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to the Company and will hold the Company and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I further authorize the Company to obtain any credit and consumer check.

I understand that nothing in this employment application, the granting of an interview or my subsequent employment with the Company is intended to create an employment contract between myself and the Company under which my employment could be terminated only for cause.

Applicants who accept an offer of employment for a management position will be required to successfully complete and pass a criminal background check.

If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.

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