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Application for Employment

EMPLOYMENT HISTORY

EDUCATION

Applicants may be required to provide proof of diploma, degree, transcripts, licenses, certifications, registrations.
Are you legally eligible to work in the United States?
If currently employed, may we contact your current employer?
Are you at least 18 years of age?
Are you able to perform the requirements described in the job description?
Have you ever been convicted of a felony or subjected to deferred adjudication on a felony charge? If your answer is "Yes," explain in concise detail on a separate page, giving dates and nature of the offense, and the name and location of the court. A conviction may not disqualify you, but a false statement will.

PLEASE READ THE FOLLOWING STATEMENTS CAREFULLY AND INDICATE YOUR UNDERSTANDING AND ACCEPTANCE BY SIGNING IN THE SPACE PROVIDED.

I certify that I have fully and accurately answered all questions and have given all information requested in this application for employment. I understand that any wrong or incomplete information on the form may disqualify me for further consideration for employment, or if discovered after I am hired, may be grounds for my immediate dismissal. I have read the job description provided to me and am willing and able to perform all duties listed.

I expressly authorize, without reservation, the employer and its representatives to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities, and educational institutions, to verify the accuracy of all information provided by me on this application, resume, or job interview. I also understand the employer will perform a background check and a drug test. I hereby waive any and all rights and claims I may have regarding the employer and its representatives for seeking, gathering, and using such information in the employment process, and all other persons, corporations, or organizations for furnishing such information about me.

This application does not constitute an agreement or contract for employment for any specified period or definite duration.

I understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States, and that federal immigration laws require me to complete an I-9 Form in this regard.

Do not sign until you have read the above statement and accept all terms.

Sign above

REFERENCES – PROFESSIONAL. If these people are the same listed in your employment history, you may write "same as above." Please do not list friends, family, etc.

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