Spoken-4 Communications (Disclaimer Form)

SPOKEN-4 COMMUNICATIONS, LLC

Disclaimer Application
We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability or any other category protected by applicable federal, state or local laws.

This company is an at-will employer as allowed by applicable state law. This means that regardless of any provision in this application, if hired, the company or I may terminate the employment relationship at any time, with or without cause or notice.
APPLICATION INFORMATION
Date*

MonthDayYear
Date
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Format: (000) 000-0000.
Email Address*
example@example.com
YesNo
If yes, how many times?
YesNo
If yes, how many times?
YesNo
If yes, how many times?
If you answered yes to any of the above three questions, please explain the circumstances of each occasion.
Military Service
Branch
From

MonthDayYear
Date
To

MonthDayYear
Date
Rank at Discharge
Type of Discharge
YesNo
Complete only if you are claiming preferences under the Veteran’s Employment Preference Act or Handicapped Persons’ Employment Preference Act.

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or other individuals from all liability when responding to inquiries in connection with my application.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in discharge.
Signature
If you are claiming preferences under the Veteran’s Employment Preference Act or Handicapped Persons’ Employment Preference Act, complete the following.
A veteran separated under honorable conditions.A disabled veteran separated under honorable conditions.The spouse of a disabled veteran if the veteran’s disability prevents him/her from working.The unremarried surviving spouse of a veteran or disabled veteranThe mother of a veteran, IF THE VETERAN lost his/her life under honorable conditions while serving in the Armed Forces OR has a service connected, permanent and total disability.
A handicapped person certified by PHHS or;The spouse of a totally (100%) disabled person certified by PHHS and reside continuously in Montana for at least one year immediately before applying for employment.
DD-214PHHS CertificationOther
Please verify that you are human*
Should be Empty:

SPOKEN-4 COMMUNICATIONS, LLC