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Contact Us > Employment > Online Application
Online Application
Fields in red are required.

Position Desired:
First Name:
Middle Name:
Last Name:
Home Address:
City, State, Zip:
Email Address:
Phone Number:

Are you over 18?
Yes No
Earliest date
you can start
Enter today's date if immediately
Desired salary
Are you currently
employed?
Yes No
Have you ever applied to
Larson Systems before?
Yes No

High School Years
Completed
Did you Graduate?
Yes No
School Name:
Location:
Course of Study:
 Not Applicable    
College Years
Completed
Did you
Graduate?
School Name:
Location:
Course of Study:
   
Business / Trade School Years
Completed
Did you
Graduate?
School Name:
Location:
Course of Study:
   
Other Education Years
Completed
Did you
Graduate?
School Name:
Location:
Course of Study:
   

Employer 1 (Your latest employer)
From:
To
Company Name:
Address
Salary:
Position
Reason for Leaving:
Employer 2
From:
To
Company Name:
Address
Salary:
Position
Reason for Leaving:
Employer 3
From:
To
Company Name:
Address
Salary:
Position
Reason for Leaving:

Reference 1
Name: Phone Number
Nature of
Acquaintance:
Reference 2
Name:
Phone Number
Nature of
Acquaintance:
Reference 3
Name:
Phone Number
Nature of
Acquaintance:

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PDF or Word format only, please
Message:
Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my immediate release.

Upon an offer of employment, I agree to submit to a pre-employment drug test and/or criminal background check.

If this position requires me to operate a company vehicle, I agree to allow my DMV record to be obtained. If my driving record is deemed unacceptable, I understand that an offer of employment can be revoked.

In compliance with the Homeland Security Act of 2002, I understand that, if hired, I am required to provide approved documentation to Larson Systems, Inc that verifies my right to work in the United States of America.


Please check the box, initial as your signature and select the date, to inidicate that you have read and understand the form certification statement above.



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Larson Systems Inc.
13847 Aberdeen Street NE
Ham Lake, MN 55304
Phone: 763-780-2131
Fax: 763-780-2182
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