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Educational Background

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Prior Work History

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Professional References

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I authorize any person, school, current employer, or past employer(s) (except as previously noted), listed references, and organizations named in this application form (and accompanying resume, if any) to provide the company with relevant information that may be useful in making a hiring decision. I release such persons and organizations and the company from any legal liability in making and receiving such statements, and waive any right that I might have to be notified by any of the individuals and organizations named in this application prior to the release of any information. I certify that all information on this application, on my resume, and on any other documents I have submitted during the hiring process is true and complete. I understand that, if employed, any false information, omissions, or misrepresentations made on this application, on my resume, or on any other documents I have submitted during the hiring process may result in the denial of employment or dismissal if I am hired. In consideration of my employment by the company, I agree to conform to the company’s rules and regulations and to perform any work which may be considered necessary by this company, and to take physical or other examinations when required and as permitted by law. I understand that this application does not create a contract of employment. I understand, agree, and acknowledge that any employment relationship that may result from this application will be of an “at-will” nature, which means that I may resign at any time and for any reason and that the company may terminate my employment at any time and for any reason and with or without cause or notice. I also understand, agree, and acknowledge that no employee of the company has any authority whatsoever to make any promises or arrangements with me that change the “at-will” nature of any employment relationship that may result between myself and the company.
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EQUAL EMPLOYMENT OPPORTUNITY POLICY: It is the policy and practice of the company to abide by all anti-discrimination laws provided for by federal, state, and local statutes and regulations. It is also the policy and practice of the company to provide and promote equal employment opportunities for all applicants and employees. It is also the policy and practice of the company to hire, train, promote, compensate, and administer all employment practices without regard to race, color, sex, age, marital status, religion, veteran status, national origin, medical condition, or disability unrelated to the ability to perform the essential functions of a job. Furthermore, the company is committed to complying with the Americans With Disabilities Act. If you believe that you need a reasonable accommodation in order to apply for or to complete an application for employment due to the fact that you may have a disability, please notify the company within three (3) days of your application of your specific needs for a reasonable accommodation so that the company can assist you where appropriate. If an applicant requests an accommodation for purposes of completing the job application process, the company reserves the right to require the applicant to furnish documentation from an appropriate professional (e.g., a doctor, rehabilitation counselor, etc.) confirming that the applicant has a disability or the functional limitations for which a reasonable accommodation is requested.

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