PERSONAL INFORMATION





EXPERIENCE

Please select your skill level for the following:

Please rate yourself on the following attributes:

JOB HISTORY

Employer #1




Employer #2




EDUCATIONAL BACKGROUND

High School

College / University

Trade School

REFERENCES

Reference #1

Reference #2

Agreement:

I certify that all information I have provided in this application is true, complete, and correct.

I expressly authorize, without reservation, this employer, it’s representatives, employees or agents to contact and obtain information from all references, employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided in this application. I hereby waive any and all rights and claims I may have regarding the employer, it’s agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information.

I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this application remains current for 30 days. After that time, if I have not heard from the employer and still wish to be considered for employment, it will become necessary for me to reapply and fill out a new application.

If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid.

I also understand that if I am hired, I will be required to provide proof or identity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form. This Company does not tolerate
unlawful discrimination in it’s employment practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis of his or her sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal, state or local law. This Company likewise does not tolerate harassment based on sex, race, color, religion, national origin, citizenship, age, disability or any other protected status.

I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to eliminate me from further consideration for employment and if hired, may result in my immediate termination, whenever it is discovered.”

I have read and agree to the above statements