Employment

If you are interested in joining the Sea Level NBPT Team, please fill out the form below and we will be in contact shortly!

Employment Form

First Name *

Last Name *

Address *

City / State *

Zip *

Email Address *

Phone *

Referred By

Position Desired *

Salary Desired *

Are you currently employed? *

YES

NO

If so, can we contact your past and present employer(s)? *

YES

NO

Present employer Name, Company, and Contact Info *

Please type "none" if applicable.

Dates worked at present employer *

Please type "none" if applicable.

Position(s) at present employer *

Please type "none" if applicable.

Past employer 1 Name, Company, and Contact Info *

Please type "none" if applicable.

Dates worked at past employer 1 *

Please type "none" if applicable.

Position(s) at past employer 1 *

Please type "none" if applicable.

Past employer 2 Name, Company, and Contact Info *

Please type "none" if applicable.

Dates worked at past employer 2 *

Please type "none" if applicable.

Position(s) at past employer 2 *

Please type "none" if applicable.

Have you ever applied to this company before? *

YES

NO

If so, which location(s) & when?

High School & Years Attended

Did you graduate?

Subjects Studied

College & Years Attended

Did you graduate?

Subjects Studied

Trade School & Years Attended

Did you graduate?

Subjects Studied

U.S. Military or Naval Service & Rank

Please list in the box below any additional job information that is relevant

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to gi'(e you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws. *

I AGREE

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