Have you plead guilty, plead "no contest" to a crime, or been convicted of a felony which has not been annulled, expunged or sealed by a court? (Criminal convictions or arrests will not automatically disqualify an applicant from a particular job.)

Starting with your current or most recent employer, please list your employment history.

Other than relatives

I authorize the investigation of all statements contained herein, including the investigation of statements concerning my previous employment. I certify that the information I have provided in this application is true and complete to the best of my knowledge and understand that, if I am employed, false or misleading statements on this or any other company document shall result in immediate dismissal. I authorize NLB to verify the information I have provided, including contacting the references and former employers listed above. I authorize all former employers, references, and other persons or agencies to provide to you any information they have regarding me without receiving written notice from me. I release from all liability any person, employer or agency providing information pursuant to this authorization. I waive any right to written notice by my present and former employers that disclose information about me. I agree to submit to a drug and alcohol screening test as a pre-condition to employment with NLB Corp., and understand that I will not be hired if I test positively for alcohol or a controlled substance, unless that substance is present due to a legitimate and verifiable prescription. I understand that the use of any drug or alcohol use during working hours or an appearance at work under the influence of drugs or alcohol will result in appropriate disciplinary action up to and including termination. I understand that a refusal to take a drug or alcohol test, if directed to do so by management or supervision, will also result in immediate termination. NLB Corp. reserves the right to perform random drug testing during their employment. I understand and agree that, if hired, my employment would be at will, which means that it would be for no definite period, that I retain the right to terminate my employment at any time, with or without notice and with or without cause, and that NLB Corp. retains the same right. I understand that NLB reserves the right to alter my scheduled hours at any time. I also understand that no oral or written communication, other than a written communication signed by the President of NLB Corp., may alter or modify my at will employment status with NLB Corp.. In the event that you need accommodation to complete this application, or if you need an accommodation at any time during the application process or, if hired and you need an accommodation during employment with NLB Corp., you must notify NLB Corp. in writing of the need for such accommodation within 182 days after the date you knew or reasonably should have known of the need for accommodation. The application must be complete even though the information may be contained in your resume. Filling an application provides no insurance that you will be interviewed or hired. Applications will be retained for six months, at which time they will be destroyed. A new application will be required for further consideration for vacancies.

Various federal, state and local laws prohibit discrimination based on race, color, sex, religion, national origin, ancestry, age, disability, or marital status. NLB is an equal opportunity employer and your response to any question will not be used as a basis for discrimination, but will be judged solely on its relevance to the position you are seeking. We invite you to complete the optional self-identification fields below used for compliance with government regulations and record-keeping guidelines.