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Application for Employment

Please fill out the application below to apply to work for Neils Lunceford
Are you 18 years or older?
Are you leagally allows to work in the USA?

Most jobs at Neils Lunceford require driving a vehicle:

Do you have a valid Driver's License?
Have you had any, any at all, moving violations in the last 5 years?

Please Note: Employees expected to drive for the company will need to furnish a Motor Vehicle Record before receiving a final offer of employment.

What position are you applying for?


When can you begin?

What is your Availability?

Rate of Pay Desired:

How did you find out we are hiring?


Do you have previous relevant work experince?

Select an option

What is your highest level of Education?


Do you have any relevant special training or skills?

Latest Rate of Pay:

What is the name and address of your current or last employer?

May we contact them?

Your Job Title:

When did you start?

When did you leave?

Name and Title of your Supervisor:

Supervisor's phone number:

Description of work and reason for leaving:

Please provide two references that are not related to you:

Our positions require sustained physical labor including, but not limited to: prolonged standing, kneeling, bending, etc. and repetitive lifting up to 50 lbs., etc.  Are you able to perform the tasks required for the position you are applying? 

If your answer to the question above was No, please explain below:

All Positions Are Seasonal Jobs.

When is the approximate last date you can work? 


I hereby authorize Neils Lunceford, Inc. (hereafter known as “the Company”) and its agents to make investigation of my background, references, character, past employment, education, and criminal history record information which may be in any state or local files, including those maintained by both public and private organizations, and all public records, for the purpose of confirming the information contained on my application and/or obtaining other information which may be material to my qualifications for employment.  A telephone facsimile (fax) or xerographic copy of this consent shall be considered as valid as the original consent.

I hereby consent to the Company’s verifying all the information I have provided on my application form.  I also agree to execute as a condition of employment or a condition of continued employment any additional written authorization necessary for the Company to obtain access to and copied of records pertaining to this information.  I also hereby authorize the Company’s access to any medical histories or records pertaining to me.  With regard to the foregoing disclosures, I hereby agree to release any person, company, or other entity from any and all causes of action that otherwise might arise from supplying the Company with information it may request pursuant to this release.  I understand that any false answers or statements, or misrepresentations by omission, made by me on this application or any related document, will be sufficient for rejection of my application or for my immediate discharge should such falsifications or misrepresentations be discovered after I am employed.


I understand that I am required to provide a copy of my Motor Vehicle Report (MVR) at the time of an interview, if one is granted. I further understand that the information in my MVR may be used for hiring or employment purposes, and for insurance underwriting or rating purposes. Failure to provide this documentation will stop the interview process until such time as an MVR is presented.


I understand and acknowledge that should I be offered a position with Neils Lunceford Inc. this position will be Seasonal in nature as defined by Code of Federal Regulations 29 CFR  500.20(s)(1) and employment is limited to the summer working season.

Consent to Background Check:

Acknowledgement of MVR:

Acknowledgement of Seasonal Employee Status:

Authorization: I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.  In consideration of my employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either the company’s or my own discretion.  I also understand and agree that the terms and condition of my employment may be changed, with or without cause and with or without notice, at any time by the company.  I understand that no company representative, other than its Officers, and then only when in writing and signed by the Officers, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.  I acknowledge, understand and agree that at any time, Neils Lunceford, Inc. reserves the right, at its sole discretion, to conduct a background check prior to making an offer of employment.

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