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General Information

*First Name: *Last Name: *Middle Initial:
*Email Address: *Home Phone (XXX-XXX-XXXX):  
May we contact you at work? Yes No
*Street Address: *City: *State: *Zip Code:
Position applying for: *Date available for employment (dd/mm/yyyy):
Employment Preference :
Full-Time Part-Time Either Days Evenings Weekends
Salary required: Preferred location:
*Are you 18 Years of age or older? Yes No
*Are you legally eligible for employment in the United States? Yes No  
*Have you previously applied for employment with us? Yes No
*Have you previously been employed by RuffaloNL? Yes No
*Please indicate source of referral to RuffaloNL:
RuffaloNL Employee College Campus Recruiter Newspaper/Ad Referral Private Employment Agency Contacted on own Other


High School Name and Location: Years completed (as yyyy): to Date graduated (as mm/yyyy):
College/University: Years completed (as yyyy): to Date graduated (as mm/yyyy):
Business/Technical: Years completed (as yyyy): to Date graduated (as mm/yyyy):
Other: Years completed (as yyyy): to Date graduated (as mm/yyyy):
List any Professional/ Technical Publications of which you are Author (title, place of publication, date). Patents or Professional Certifications/ Licenses that you hold:

Military History

*Have you ever served in the military? Yes No


Please read carefully, click "I Agree" below to continue:

By signing below, I certify that misrepresentations or omissions in this application or in other information I give to Ruffalo Noel Levitz, orally or in writing, may be cause for rejection or may be cause for subsequent dismissal if I am hired.

I voluntarily authorize Ruffalo Noel Levitz to make investigations of my prior employment, and other related matters as may be necessary in arriving at any employment decision or verifying information related to my application. I hereby release from all liability all persons or entities supplying or collecting such information. If I am offered employment, I understand the offer is contingent on the outcome of any investigations or reference check satisfactory to Ruffalo Noel Levitz.

If I am employed, I understand that I may be required to sign agreements regarding non-competition and regarding secrecy of communications and inventions, discoveries, or developments that I make, discover, or develop during my employment at Ruffalo Noel Levitz.

In accordance with Ruffalo Noel Levitz policy to maintain a drug-free work place, employees may be subject to drug testing throughout their employment in accordance with the law. I hereby agree to drug testing as required by Ruffalo Noel Levitz policy and release Ruffalo Noel Levitz from all liability arising from such testing.

I understand that my employment is contingent on my successful compliance with all employment eligibility verification requirements of the Immigration Reform and Control Act of 1986.

If I am employed, I understand that my employment is "at will" and for no definite period of time. Either Ruffalo Noel Levitz or I may terminate my employment at any time, with or without cause and with or without notice. I further understand that my employment is at will regardless of any statement made by a Ruffalo Noel Levitz agent or employee or in a Ruffalo Noel Levitz policy, practice, handbook, program, or any other written or oral materials.

I understand that no representatives of Ruffalo Noel Levitz other than the CEO/President of Ruffalo Noel Levitz have the authority to make arrangements with me concerning the length of my employment. Such agreements must be in writing and signed by the CEO/President of Ruffalo Noel Levitz.

*I agree to the terms stated above.

Ruffalo Noel Levitz and all affiliated companies afford equal opportunity in employment to all qualified persons. The Company will not tolerate discrimination or harassment based upon any characteristics protected by applicable federal, state or local law. Our commitment to equal opportunity employment applies to all persons involved in our operations and prohibits unlawful discrimination. In states where it is required by law, Ruffalo Noel Levitz participates in the Electronic Verification System (E-Verify) to electronically verify the work authorization of newly-hired employees.

Please submit my application for employment consideration.