Employment Application

Previous Employment

Please read carefully before signing. If you have any questions regarding the following statements, please ask for a assistance.

I hereby certify that the following statements, as well as those on any attachments(s) to this form, to the best of my knowledge are true and correct and that they are all given of my own free will. I agree that any misstatements(s) or omission(s) as to material facts will constitute grounds for unfavorable consideration or dismissal from employment.

I authorize you to communicate with all former employers, schools, officials and persons named as references. I hereby release all employers, schools, and individuals from any liability for any damage whatsoever from giving such information.

I understand that, as this organization deems necessary, I may be required to work overtime or hours outside a normally defined work day or work week, including all holidays. If employed, I understand and agree that such employment may be terminated at any time and without any liability to me for consideration of salary, wages, or employment related benefits.

To certify your application, please provide an electronic signature (type your name) and click Submit.

I certify that all the information is my application is accurate and true.