Have you ever applied for employment with Regitar?
Are you eligible to work in the U.S.?
Must Provide Documentation
What is the Status You are applying for
Are you available for Overtime?
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?
Have you ever been convicted of a felony?
Have you served in the U.S. Armed Forces?
Are you currently serving in the U.S. Armed Forces?
Have you received an Honorable Discharge?

High School, GED or Equivalent

Did you Graduate?


Did you Graduate?


Did you Graduate?
May we contact this employer?

Give the names of three persons not related to you, whom you have known at least three (3) years.

Please read carefully before confirming.

Regitar USA, Inc. is an equal opportunity employer. Regitar USA Inc. does not discriminate in employment decisions based on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical or mental disability, or military status. I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Regitar USA Inc. to hire me. If I am found to be a viable candidate for consideration I understand that there will be a drug test and criminal background check to be performed. If I am hired, I understand that either Regitar USA Inc. or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of Regitar USA Inc. has the authority to make any assurance to the contrary. I attest with my signature below that I have given to Regitar USA Inc. true and complete information on this application. No requested information has been concealed. I authorize Regitar USA Inc. to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.