SOUTHEAST IOWA REGIONAL AIRPORT AUTHORITY
2515 Summer Street Burlington, IA 52601-3330 (319) 754-1414
fax: (319) 754-1424
EDUCATION Cite Specialized Training Other Than Formal Education On Reverse Side
EMPLOYMENT HISTORY List All Positions Held in Reverse Order, Present (or most recent) Job First
List Three (Local Area Residents if Available)
The Southeast Iowa Regional Airport Authority does not discriminate on the basis
of race, color, national origin, sex, religion, age, or
disability in employment or the provision of services
I hereby certify that the answers given and statements made by me on this Employment Application are true and correct & that there are no material omissions. I authorize my present and former employers to give Airport Authority officials any information regarding me or my performance and release such employers, including their representatives and their companies, from all liability from damage for providing requested information. I understand that should investigation disclose misrepresentation or falsification, I will be dismissed immediately, my application will be rejected and I will be disqualified from making future application with the Airport Authority.
I understand that any employment offered by the Airport Authority is “employment at will” and I may be terminated for any reason not violative of law (or a collective bargaining agreement where applicable). I understand my driving and any criminal records may be checked and I agree to submit to a pre-employment physical examination at Airport Authority expense following a conditional offer of employment. I also understand that the Airport Authority has a strict policy against illegal drug involvement by employees that can result in immediate disqualification or dismissal from employment for any such illicit activities occurring on or off the job.
Read The Foregoing Carefully!