Application for Employment

The following information is requested in order to help us make the best possible placement within the company. All portions of this application pertaining to you must be completed. We appreciate the time you send in filling out this application form. The company , in accordance with local, state and federal laws, does not discriminate on the basis of age, race, religion, color, sex, national origin, marital status, sexual orientation, disability, status with regard to public assistance, or any other protected classification.

Personal Information
Employment Desired

If more than one, list in order of preference.


Please provide three references that meet the following criteria: not a relative, not a previous employer, and whom you have known at least one year.

Former Employers

Please list in order, current employer first. If you need additional space to complete, please continue on a separate sheet of paper.


Maximum size 10MB

I certify that the information contained in this application is correct to the best of my knowledge, and understand that falsification of this application in any details is grounds for disqualification from further consideration or for dismissal from employment in accordance with company policy. I authorize Lueken's to verify the information company guidelines and rules of the company, including Lueken's Drug and Alcohol Policy. I understand that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either the company or me. I further understand that no personnel recruiter or interviewer or other representative of the company, other than the President, has any authority to enter into any agreement for employment for any specified period of time.
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