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  • EMPLOYMENT APPLICATION FORM

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  • EDUCATIONAL BACKGROUND

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  • PRESENT & PAST EMPLOYMENT, BEGINING WITH MOST RECENT

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  • WORK REFRENCES

    (Please provide three references below)
  • APPLICANT MUST READ AND SIGN

  • I certify that I have read and understood this employment application. I understand and agree that the employer or its agents may investigate my background to obtain any and all information relevant to my employment history, whether such information is of record or not. I release the employer and all persons named herein from any liability for damages that may result from furnishing such information.

    I understand that, as an applicant for a position with this company, I may be required to demonstrate my ability to perform tasks pertinent to the job. I also understand that any job offer may be contingent upon the results of a physical examination and drug test.

    I certify that I am a genuine applicant for employment and that this application is being submitted solely for the purpose of seeking employment with this employer.

    I agree to provide any additional information and complete any examinations necessary to complete my employment file. I understand that any misrepresentation or omission of information or facts may result in rejection of my application or, if employed, my dismissal.

    If hired, I agree to abide by all rules and policies of the employer.

    This certifies that this application was completed by me and that all entries and information provided are true and complete to the best of my knowledge.

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