• Highschool, City, State
  • Employment History

  • Professional References

  • Personal References

  • Emergency Contact

  • Questions

  • I certify that the above information is correct and understand that if I am employed false statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained on this application and reference above to give out any information pertaining to my previous employment and any other pertinent information they may have and release all parties from all liability for any damage that may result from furnishing information to you. I also grant permission to check my credit history if employer feels it is necessary. I understand and agree that, if I am hired, my employment is for no definite period and may be terminated at any time without prior notice regardless of the date of payment of my salary, and give employer permission to apply my final pay check to any amounts owed to employer by employee.