Instructions: Print clearly in black or blue ink. Answer all questions. Sign and date the form.
Please provide 3 character references: Name/Title/Address/Phone
I certify that the information contained in this document is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment at any point in the future if I am hired. I authorize the verification of any or all information listed above.
Please return by mail, fax or e-mail to: Precision Electrical Systems 17162 E Sprague Ave. Spokane Valley, WA 99016 Fax (509)924-4336 e-mail: firstname.lastname@example.org
For faster review and processing, please email a copy to email@example.com after pressing Submit