Fill out the form below to apply for employment. If you’d like to apply in person, download the application, print and fill out. Drop it by our main office in Fort Payne or Centre.
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Position Applied for
Are you a citizen of the United States?YesNo
If no, are you authorized to work in the United States?YesNo
Have you ever worked for this company?YesNo
If so, when?
Have you ever been convicted of a felony?YesNo
If yes, explain
Did you graduate?YesNo
Please list three professional references.
Reason for Leaving
May we contact your previous supervisor for a reference?YesNo
Rank at Discharge
Type of Discharge
If other than honorable, explain