Poulin Design Center Employment Application

Application for Employment

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, or other protected classification.



Work History

Employment History

(1) Most Recent Employer:

(2) Previous Employer:

(3) Previous Employer:



Applicant Certification and Agreement

I certify that the facts set forth in this application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Company to make an investigation of any of the facts set forth in this application. I understand that the employer may give me a conditional job offer, following which I may be required to finish information regarding medical condition and history and any information regarding any pre-exsisting permanent physical impairment. I further understand that once given a conditional job offer, I will be required to submit to pre-employment testing for the illegal use of drugs.