Other Education
Describe any specialized training, apprenticeship, skills, and extra-curricular activities.
OTHER QUALIFICATIONS: Summarize special job-related skills and qualifications acquired from employment or other experiences. (Include courses in accounting, sales, finance, & management.)
Specialized Skills
If applicable, list the years of experience for each of the skills listed below.
Employment Experience
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
Employer 1
Employer 2
Employer 3
List professional, trade, business, or civic activities and offices held.
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, disability or other protected status.
State any additional information you feel may be helpful to us in considering your application.
References
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2
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Confirmation of Authenticity
I certify that answers give herein are true and complete to the best of my knowledge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. If you decide to engage an investigative consumer reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.
This application for employment shall be considered active for a period of time not to exceed 180 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information give in my application or interview(s) may result in discharge. I understand also, that I am required to abide by all rules and regulations of the employer.
Background Check Approval
I hereby give permission to have my prospective employer conduct a background check on myself for purpose of consideration for employment by this company.
I understand that the results of the background check will be kept strictly confidential and used only for the consideration of employment.