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Employment Application

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    Personal Info

    Please check all that apply

    Please check all that apply

    Work Experience

    Please list your work experience, most recent first

    Date you started working there

    Date you stopped working there

    Please list starting and ending pay

    Date you started working there

    Date you stopped working there

    Please list starting and ending pay



    Criminal History

    In the last seven (7) years, have you been convicted of, or plead guilty to any felony or misdemeanor? (Excluding minor traffic offenses, and convictions which have been sealed, impounded, erased, expunged, annulled, or nulled.)

    Other factors will be taken into account, such as the nature of the offense, the time that has passed since the conviction, and the type of job being sought. This information will be used only for job-related purposes and only to the extent permitted by applicable law.

    If yes, please describe

    Read carefully and sign

    I have submitted the attached form to the company for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate the company to further process my application.

    My signature below attests to the fact that the information that I have provided on my application, resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that any misrepresentation or omission of any fact in my application, resume, or other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from the company.

    I also affirm that I have not signed any kind of restrictive document creating any obligation to any former employer that would restrict my acceptance of employment with the company in the position I am seeking.

    I understand that this application is not an employment contract for any specific length of time between the company and me, and that in the event I am hired, my employment will be "at will" and either the company or I can terminate my employment with or without cause and with or without notice at any time. Nothing contained in any handbook, manual, policy and the like, distributed by the company to its employees is intended to or can create an employment contract, an offer of employment, or any obligation on the company's part. The company may, at its sole discretion, hold in abeyance or revoke, amend or modify, abridge or change any benefit, policy practice, condition or process affecting its employees.

    I hereby authorize the company and its agents to much such investigations and inquiries into my employment and educational history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons of all liability in responding to inquiries connected with my application and I specifically authorize the release of information by any schools, business, individuals, services, or other entities listed by me in this form. Furthermore, I authorize the company and its agents to release any reference information to clients who request such information for purposed of evaluating my credentials and qualifications.