Provide the following information about your past and current employers, assignments or volunteer activities, starting with the most
recent. Explain any gaps in employment in the comments section below
I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate discharge from the employer’s service, whenever it is discovered.
I give the employer the right to contact and obtain information from all references, employers, educational institutions and to otherwise verify the accuracy of the information contained in this application. I hereby release from liability the employer and its representatives for seeking, gathering and using such information and all other persons, corporations or organizations for furnishing such information.
The employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by local, state or federal law.
The 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.