Please provide complete and legible information. An incomplete application affects our ability to consider you for employment. Lochard Inc., Inc. is an equal opportunity employer and does not discriminate on the basis of race, color, religion, age, national origin, ancestry, disability, military or veteran status, genetic information, or any other protected status. The information collected by this application is solely to determine your suitability for employment, to verify identity, and to maintain employment statistics on applicants.

Applicants with disabilities may be entitled to a reasonable accommodation under applicable law. A reasonable accommodation is a change in the way things are normally handled in order to allow an applicant an equal employment opportunity without imposing an undue hardship on Lochard Inc.

Please notify the company’s personnel representative if you need assistance completing any forms or to participate in the application process.

I understand that Lochard Inc. performs an authorized criminal background check upon a conditional offer of employment and that this practice is not used to automatically disqualify an applicant from employment. I understand that Lochard Inc. enforces a drug-free workplace policy and that its employees are required to pass a post-offer/pre-employment drug screen following a conditional offer of employment. I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States. I understand that this application does not constitute an agreement or contract for employment and that no supervisor or representative of the company is authorized to make any assurances, written or implied, to the contrary. I expressly understand that, if hired, my employment with Lochard Inc. will be at-will and may be terminated by either Lochard Inc. or me, with or without notice, and with or without cause, unless prohibited by law. I understand that any information provided by me that is found to be false, incomplete, or misrepresented will be sufficient cause to eliminate me from further consideration or may result in my immediate termination whenever it is discovered. I hereby certify that if employed by Lochard Inc. my employment will not conflict with or result in the violation of or breach under any contract, agreement, or understanding, other than what I have disclosed on this application. This would include any non-solicitation, non-competition, or non-disclosure agreements I have with any prior employers. I certify that all information I have provided on this application is true, complete, and correct. I authorize Lochard Inc. its representatives, employees or agents to contact and obtain information from all references, employers, agencies, licensing authorities, and education institutions to verify the accuracy of all information provided by me in this application, resume (if attached), and/or job interview. I understand that this application remains current for six months, after which time I must complete a new application in order to be considered for employment in the future.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT