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    Personal Information



    Referred by:

    Are you 18 years of age older?


    Employment Desired

    Are you employed now?


    If so may we inquire of your present employer?



    Attachments (allowed formats: PDF, DOC, JPG)

    I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company. I authorize investigation of all statements contained herein and the references listed to give you any and all information concerning my previous employment and any pertinent information they may have and I release all parties from all liability for any damage that may result from furnishing the same to you. I understand and agree that if hired my employment is "at-will", there is no definite period of employment and may, regardless of the date of payment of my wages or salary, be terminated at any time without prior notice and without cause. I also understand and agree that for the first 90 days of my employment I will be an introductory employee subject to termination without cause and without prior notice.
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