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Poulin Design Center
Employment Application

Application for Employment

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, or other protected classification.

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Are you over 18 years old?
Are you authorized to work in the U.S. on an unrestricted basis?
Have you worked here before?
Are you willing to work overtime as required?




Days Available:

Work History

May we contact your present employer?

Employment History

(1) Most Recent Employer:

(2) Previous Employer:

(3) Previous Employer:


Click or drag a file to this area to upload.

Applicant Certification and Agreement

I certify that the facts set forth in this application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Company to make an investigation of any of the facts set forth in this application. I understand that the employer may give me a conditional job offer, following which I may be required to finish information regarding medical condition and history and any information regarding any pre-exsisting permanent physical impairment. I further understand that once given a conditional job offer, I will be required to submit to pre-employment testing for the illegal use of drugs.