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Pay Type:
Employment Desired:
Shift(s) Available to Work:
Shift(s) Preferred:
Have you ever worked for Varflex Corporation before?
Have you ever applied to work for Varflex Corporation before?
Do you have friends, relatives, or acquaintances working for Varflex?
Do you have a driver's license?
If no, do you have reliable transportation?
If hired, are you willing to submit to & pass a drug test?
Are you able to perform the essential functions of the job for which you are applying, either with/without reasonable accomodation?

Note: Varflex Corporation complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional

Have you ever been convicted of a felony or misdemeanor?

Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offence. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for, may, however, be considered.


Did you graduate?
Did you graduate?


Are you a veteran?


Note: Please describe past & present employment positions. Please account for all years of employment. Even if you attached a resume, this section must be completed.

Are you currently employed?
May we contact this employer?



The Equal Employment Opportunity Commission (EEOC) requires all private employers with 100 or more employees as well as federal employees and first tier subcontractors with 50 or more employees AND contracts of at least $50,000 complete and EEO-1 report each year. Covered employers must invite employees to self-identify gender and race for this report.

Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for EEO-1 reporting purposes only and will be kept separate from all other personnel records only accessed by the Human Resources Department. Please complete this form for submission to HR Department.

If you choose not to self-identify your race/ethnicity at this time, the federal government requires Varflex Corporation to determine this information by visual survey and/or other available information.

RACE/ETHNICITY: (Please check one of the descriptions below corresponding to the ethnic group with which you identify.)


Please Read and Initial Each Paragraph, then Sign Below

I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the facts that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omissions (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from this company.

I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company.

I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the references I have listed to disclose any information related to my work record and my professional experiences with the, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.

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