APPLICATION

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Are you legally eligible to work in the United States? *

Yes

No

What location are you applying for? *

Please select the option that is closest to you. Our regional offices serve as management hubs for the company while we maintain a low overhead structure with a remote work environment.

Rocky Mountain Region

Pacific Northwest

West Coast

Preferred Start Date *

MM

DD

YYYY

Would you be able to travel for this position? *

Yes

No

Background Check? *

Would you be willing to allow Lithos to perform a background check for eligibility of employment?

Yes

No

Certification: I certify that all information provided in this employment application is true and complete to the best of my knowledge. I understand that any false information or omission may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date. *

Agree