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Tom Lange Company, Inc. and its affiliate companies are equal opportunity employers. We make all employment decisions on the basis of ability and job-related qualification, without regard to race, religion, sex, color, national origin, age, disability, sexual orientation, military status, marital status, or any other classification proscribed under law.

Disclaimer and Signature. Please check each box and sign below *

I understand that in accepting this application, the Company is in no way obligated to provide me with employment and that I am not obligated to accept employment if offered. Furthermore, if employed, I understand that I must follow all Company policies and that my employment is “at will” and may be terminated with or without cause, and with or without notice, at any time.

I certify that the facts contained in this application are true and complete to the best of my knowledge. I understand that any falsified statements or omissions of fact on either this application or during the pre-employment process may result in my application being rejected, or, if I am hired, in my employment being terminated.

I authorize the Company to investigate any information, including my employment history and educational background. My former employers, educational institutions, and references may provide information that they may have about me in response to inquiry from the Company.

I agree that if an offer of employment is made to me, it will be contingent on my providing additional employment-related information and employment eligibility verification, including but not limited to completing an I-9 form. Upon making a contingent offer of employment to me, I authorize the Company to conduct a full background check, including a criminal records check, using any third-party services of its choice, at its option.

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