First Name*
Last Name*
Email*
Address
City State Zip
Phone
What position are you applying for?
What area(s) do you prefer?
Have you previously applied or been employed by Aurora? Yes No
If so, when?
You must be 18 years of age or over for employment. Do you meet this
requirement? Yes No
Are you eligible for work in the US? Yes No
What days of the week can you work and the hours you are available to work?
We require employees to work some weekend hours. Are you able to meet this
requirement? Yes No
Can you lift 50 lbs. with or without reasonable accommodations? Yes No
Do you have a valid driver's license? Yes No
Have you ever been convicted of offenses that would directly relate to the
particular job for which you are now applying? Yes No

If there is any additional information you may like us to know at the time,
please fill in the box below.