APPLICATION FOR EMPLOYMENT

LEI Corporation is an equal opportunity employer and does not discriminate on the basis of race, religion, color, national origin, age, sex, gender, marital status, disability or any other characteristic protected by law.

Personal Information

MM slash DD slash YYYY
Are you 18 years of age or older?(Required)
Valid Driver's License(Required)
Present Address(Required)
Premanent Address (if different from Present Address)

Desired Employment

MM slash DD slash YYYY
Are you employed now?(Required)
Have you ever applied to this company before?(Required)
Have you ever worked for this company before?(Required)

Education

I can provide information for these places I attended:

Former Employers

I can provide information for this many previous employers:

References

I can provide information for this many references:

General Information

Max. file size: 128 MB.

Authorization

"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 give you any and all information concerning my previous employment and any pertinent information that 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.

Is authorization given?(Required)