Application

Application for Employment


APPLICANT INFORMATION

Date
09/18/2020

Please enter the days of week and the number of hours per week you are available to work.
This will not necessarily exclude you from consideration.

EDUCATION

 

 


MILITARY SERVICE


PREVIOUS EMPLOYMENT (MOST RECENT FIRST)

 

 


REFERENCES

Please list three professional references.

 

 


GENERAL


.pdf, .doc, .docx accepted
.pdf, .doc, .docx accepted

DISCLAIMER, AUTHORIZATION AND SIGNATURE

I certify that the facts contained in this application are true, correct and complete to the best of my knowledge and understand that falsified, misleading, misrepresentation, or omission of any information submitted in connection with my application or interview, whether in this document or not, may result in rejection of my application or, if hired, in dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I waive written notice from my current employer and from any of my former employers regarding the disclosure of disciplinary reports, letters of reprimand, or other notices of disciplinary action contained in my personnel records (even if more than four years old). This waiver is made pursuant to the employee right-to-know act.

I authorize the references and current and former employers listed in this application to give you any and all information concerning my current and previous employment and any pertinent information they may have (even if more than four years old) and release all parties from any liability for any damage that may results from furnishing same to you.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or into any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.