Employment Application

Thu, 09/13/2012 - 1:44pm -- Admin Account
PERSONAL DATA
Have you ever pled guilty or been convicted of a felony or misdemeanor?
(Note: Aswering "yes" to this question does not constitute an automatic bar to employment)
 Currently EnrolledYears CompletedDiploma or DegreeCourse of Study
Elementary
High School
College/University
Trade or Correspondence
Other
Record of Previous Employment
Please list the name of your previous employers in chronological order with present or last employer listed first. Be sure to account for all periods of time including military service and any period of unemployment. If self-employed, give first name and supply business references.
EQUAL OPPORTUNITY EMPLOYER I understand that the Company reserves the right to require me to submit to a drug test at any time and also reserves the right to require me to submit an alcohol test and/or medical examination to the extent permitted by law. I authorize the Company to investigate my driving record, my criminal record and my credit history, and I understand that an investigative consumer report may be prepared whereby information is obtained through personal interviews with neighbors, friends, and others with whom I am acquainted. This inquiry would include information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional detailed information about the scope of this investigation. I further understand that the Company may contact my previous employers and I authorize those employers to disclose to the company all records and other information pertinent with them. I also authorize the Company to provide truthful information concerning my employment with it to my future prospective employers and I agree to hold it harmless for providing such information. I certify that all of the information that I provide on this application and in any interview will be true and accurate. I understand that if I am employed and any such information is later found to be false or misleading in any respect, I may be dismissed. DO NOT SIGN UNTIL YOU HAVE READ AND UNDERSTOOD THIS STATEMENT