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Application for Employment

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Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
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PLEASE READ THE LANGUAGE BELOW CAREFULLY, SHOULD YOU HAVE ANY QUESTIONS REGARDING THIS LANGUAGE, PLEASE SEEK ASSISTANCE PRIOR TO SIGNING THIS DOCUMENT.

I certify that the information contained in this application is true, accurate and complete. I understand that falsification of this Application in any detail may result in disqualification from further consideration, or, if hired, immediate dismissal without notice from employment. As a condition of employment, I understand the Company reserves the privilege to thoroughly investigate and verity all information contained in this Application, including but not limited to contacting any of the aforementioned employers, supervisors and references. I agree to indemnify and save harmless the Company from and against any liabilities, claims, attorney fees, costs, causes of action or other liability arising directly or indirectly from, or associated with, this Application.

I agree to conform to the rules and regulations of the Company, and I understand that my employment and compensation can be terminated, with or without cause, at any time, at the option of either the Company or myself. I further understand that no personnel recruiter or interviewer or other representative of the Company, other than its President or Vice President in an agreement signed by all parties, has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing.

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