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Employment Form

Fields marked with an * are required

Section 1: Personal

Section 2: Citizenship / Eligibility

Section 3: Desired Employment

Jobs Preferred

Specialized Training or Office Skills

Section 4: Education

High School

Colleges, Trade or Business School

Section 5: Military Service

Section 6: Employment History

Section 7: References

Give names of three personal references to whom you are not related or employed




Give the names of any relatives, and/or acquaintances in the employ of the company.


Activities

I authorize investigation of all statements contained in this application. I authorize the employers, schools, or persons named in this application to provide information regarding my employment, education, character and qualifications to the company. Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages or salary, be terminated at any time with or without cause and with or without previous notice. No manager, supervisor, representative or agent of the company other than the president, has any authority to enter into any agreement with me for any specified period of time, or to make any agreement contrary to the foregoing. My signature below certifies that all information in the application is correct and complete to the best of my knowledge and belief, and I understand that intentionally giving false information could result in refusal of employment, or discharge. This application will remain under active consideration for the position for which I have applied for sixty days. I agree upon request, to submit to a blood or urine test to detect drug usage and recognize that said test will be used to determine suitability for initial or continuing employment.

I also understand that upon hire I must furnish PermaBilt with identification deemed acceptable by the United States Department of Immigration and Naturalization to prove that I can be legally employed in the United States. I acknowledge reading and understanding the above terms.

 

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