Employment Application

Veratics is an Equal Opportunity/Affirmative Action Employer. We consider applicants without regard to race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other group protected by federal, state or local law.











I attest, that I am (check one of the following):
 A citizen of the United States A noncitizen national of the United States
 A lawful permanent resident (Alien Registration Number/USCIS Number)

 An alien authorized to work until (expiration date, if applicable, mm/dd/yyyy)
Some aliens may write “N/A” in this field.

For aliens authorized to work, provide your Alien Registration Number/USCIS Number OR Form I-94 Admission Number:

OR

If you obtained your admission number from CBP in connection with your arrival in the Unites States, include the following:

Are you looking for full-time employment?
 YES NO

Have you ever been convicted of a felony? (This will not necessarily affect your application.)
 YES NO

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