Step 1 of 5
List two (2) references who are not relatives or former supervisor.
Maximum number of entries reached.
Information to applicant: As a part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references.
I give the employer the right to investigate all references and to secure additional information about me, if job-related. I hereby release from liability the
employer and its representative for seeking such information and all other persons, corporations or organization for furnishing such information.
The employer is an Equal Opportunity Employer. The employer does not discriminate in employment and no question on this application is used for the
purpose of limiting or excusing an applicant’s consideration for employment on a basis prohibited by local, state or federal law.
This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for
employment, it will be necessary to fill out a new application.
I understand that just as I am free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause and
without prior notice. I understand that no representative of the employer has the authority to make any assurances to the contrary.
I understand it is this company’s policy not to refuse to hire a qualified individual with a disability because of this person’s need for an accommodation that
would be required by the ADA.
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