Is there any reason we should make inquiries with your present employer or previous employers? If yes, please explain:
If yes, please describe fully the criminal conviction(s), listing the nature of the offence and your rehabilitation since the conviction.
If yes, please provide specifics.
Specialized technical skills (e.g. spray machine operating, boom lift operating, scissor lift operating, wallpaper hanging, faux finishing etc.)
(Please list below your last four employers, starting with your present or last place of employment.)
You may include any verifiable work performed on a volunteer basis, internship, or co-op.
Please give the name of three additional work-related references we may call. Please do not list relatives. Individuals with no prior work experience may list school or volunteer related references.
Applicant Certification - Please Read Carefully
I understand that this application is not a contract, offer or promise of employment. I acknowledge that employment with this company is on an employment at will basis. This means that my employment with the company can be terminated at any time, with or without cause or advance notice and acceptance of employment is not a contract of employment for any specified time. Similarly, I am free to terminate my employment with the company at any time for any reason. This at will provision may be waived or modified only in a written agreement signed by the Company’s president and me.
I further understand that I am responsible for being familiar with and complying with the Company’s policies, rules & regulations, and I understand that the company has complete discretion to modify its policies, rules & regulations, and practices at any time, to the extent permitted by law. By my continued employment with the Company, I consent to such changes.
I certify that the above information is complete and accurate to the best of my knowledge. I understand that the falsification, misrepresentation, or omission of information on this form or relating to my application for employment may result in my denial of employment, or if employed, my immediate dismissal.
I hereby authorize the company or its agents to confirm all statements in this application and/or resume to the extent permitted by law. I release all parties from any liability arising out of this provision and the use of such information.