General Interest Personal Information Full Name * Address * Address 2 City * State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingDistrict of ColumbiaPuerto RicoGuamAmerican SamoaU.S. Virgin IslandsNorthern Mariana Islands Zip Phone * Email * Background Information Why are you interested in joining the Lesher team? * Desired Salary/Wage * Attach a Copy of Your Resume Attach a Copy of Your Cover Letter (Optional) Are You Legally Eligible for Employment in the U.S. (Proof of U.S. citizenship or immigration status is required if hired) * YesNo Are you currently Employed? * YesNo If hired, when would you be able to start? * (Click the drop-down arrow to pick date from pop-up calendar) List any friends or relatives employed by this company. Have you ever been discharged or asked to resign from any position? * YesNo If yes to above, explain.