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In Business
Since 1986

 

Employment Application Form


Online Application Form

Please complete all of the following information.  We will contact you after reviewing your information.  Thank You for applying!

 

Please complete or select ALL items  (* = Required)

Applicant Name:*  
Address:*
City:*  
State:*
Zip:*
E-mail:*  
Phone:*
Good Time(s) to Contact:
Position Applying For:*  
What Days/Hours are you available?
Are you available to work some Saturdays?
Salary Desired:*  
Do you have access to High-Speed Internet?
Do you have a possible room for a home office?
If hired, are you willing to submit to and pass a controlled substance test?
Have you ever been convicted of a criminal offense (felony or misdemeanor)?
Do you have any experience, training, qualifications, or skills which you feel should be brought to our attention, in the case that they make you especially suited for working with us?
Please Explain Any of Those:
Are you currently employed?
If you are currently employed, may we contact your current employer?
Most recent occupation and salary:*  
What Date Could You Start?
Any other Comments:

Please Read and Initial Each Paragraph

I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.
 

I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company.
 

I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have given to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.
 

If you would like to just send us this information via Fax or Postal Mail instead of submitting via Internet you can by using one of the following options:

Supreme Software

1123 Alta Vista Dr.

Rapid City, SD 57701

Fax: (877) 741-4949

 

By Pressing the "Submit Application" button you agree to the following: