Application for Employment

(All Information Treated Confidential)

We are an equal opportunity employer. No applicant or employee shall be discriminated against by reasons of race, sex, age, religion, color, national origin, or disability.

INSTRUCTIONS: All applications for employment with Rainbow Omega, Inc., must be made on this form. Applicants are urged to consider carefully and understand fully each question, and having done so, to fill in all blanks accurately. All information submitted is subject to verification. A false or misleading response may result in disqualification. This application will be considered only for the specific job identified. Should the applicant desire consideration for other jobs in the future, the applicant should submit other applications at the proper time. An unsigned or incomplete application will not be considered.

(May be used for official correspondence.)



Type of SchoolName of School, City, & StateYears CompletedGraduated?Degree
High School
College / University

Special Qualifications & Skills:

Work Experience:

Present or Most Recent Employer


Reference #1
Reference #2
Reference #3



  1. I certify that the statements and information contained herein is true, complete, and correct to the best of my knowledge. The information given in this application is given of my own free will. I understand that the Chief Executive Officer or the Director of Operations of Rainbow Omega, Inc. in making hiring decision is relying upon my responses to all questions on this application and during the entire application process. Any material misrepresentation or deliberate omission of requested information in my application may be justified for refusal of, or if employed, termination from employment.

  2. I understand that an incomplete application will not be considered.

  3. I understand, except as otherwise requested in my application regarding my current employer, this is my expressed permission for Rainbow Omega’s Chief Executive Officer or his designee to contact prior employers to obtain any and all information related to my past work performance. It is my understanding that Rainbow Omega, Inc will make a thorough investigation of my work and personal history and may verify all data given in my application for employment, related papers or oral interviews.

  4. I understand that my employment may be terminated by the Chief Executive Officer or the Director of Operations of Rainbow Omega, Inc at any time without liability for wages or salary except such as may have been earned at the date of such termination.

  5. I understand that although management makes every effort to accommodate individual preferences, business needs may at times make the following conditions necessary: overtime, rotating work schedule or a work schedule other than Monday through Friday.

  6. I understand that if offered employment, my employment may be contingent upon the negative results of a pre-employment drug screen. Upon receipt of a confirmed positive result, your employment offer will be withdrawn and you will no longer be considered for employment. I also consent to submit to periodic random and reasonable suspicion drug and/or alcohol testing by ROI if hired.

  7. I further understand that this is an application for employment and that no employment contract is being offered.

  8. I understand that if I am employed, such employment is for an indefinite period of time, and that the Board of Directors of Rainbow Omega, Inc. can change wages, benefits, and conditions at any time.

  9. I understand that Rainbow Omega, Inc. is a non-smoking facility. Therefore, I understand that I will not be able to smoke while on duty or on the premises of Rainbow Omega, Inc.