Application for Employment

EDUCATION *
 NAME OF SCHOOL,YRS ATTENDED/ GRADUATED?SUBJECTS STUDIED
HIGH SCHOOL
COLLEGE
OTHER (SPECIFY)
FORMER EMPLOYERS (LIST BELOW LAST THREE EMPLOYERS, STARTING WITH LAST ONE FIRST). *
 NAME OF EMPLOYERDATE: MONTH/YEAR.SALARYPOSITIONREASON FOR LEAVING
1
2
3
REFERENCES: GIVE THE NAMES OF THREE PERSONS NOT RELATED TO YOU,

WHOM YOU HAVE KNOWN AT LEAST ONE YEAR. *

 NAMEADDRESSBUSINESSTELEPHONE NO.
1
2
3

"I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME AT EITHER MY OR THE COMPANY'S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN IT'S PRESIDENT, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THE FOREGOING."

SIGNATURE __________________________________ DATE __________

------------------------------DO NOT WRITE BELOW THIS LINE-------------------------------

INTERVIEWED BY _____________________________ DATE_________

REMARKS: _____________________________________________________________________________________

_____________________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________

HIRED: YES / NO

START DATE __________________________

POSITION ___________________________

SALARY/WAGE ________________________

APPROVED:_________________________________________________________________________________________________________________________________

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