Please list your present and prior employers for the past 10 years, starting with your current or most recent employer. Any periods of unemployment must also be shown. You must complete this section even if you are attaching a resume or have already provided one.
Please read each statement closely and initial each one, acknowledging your understanding.
I DECLARE THAT ALL OF MY ANSWERS ARE TRUE, ACCURATE, AND COMPLETE UNDER PENALTY OF PERJURY, AND THAT ANY MIS-REPRESENTATIONS MAY DISQUALIFY ME FROM EMPLOYMENT CONSIDERATION AND/OR MAY BE GROUNDS FOR TERMINATION.