EMPLOYMENT APPLICATION

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EDUCATIONAL BACKGROUND:

TRAINING:

List fields of work for which you are licensed, registered, or certified. Include date of issuance, state where license was issued, and license/registration/certificate number:

SKILLS:

Indicate skills, knowledge, and abilities in the following areas related to the position you are applying for.

COMMUNICATION:

CRIMINAL RECORD:

NOTE: A conviction record will not necessarily exclude you from employment. Factors such as age at time of offense, rehabilitation efforts, how recent the offense was, nature of the crime, and type of job for which you are applying will be considered.

DRIVERS LICENSE:

REFERENCES:

List three (3) persons who are not related to you and who have definite knowledge of your qualifications for the position for which you are applying, such as co-workers, teachers, etc... DO NOT list supervisors you have listed elsewhere on this employment application.

EMPLOYMENT HISTORY:

Use a separate section for each position. Describe in detail all work experience beginning with your present or most recent position.

Employer 1
Employer 2
Employer 3
Employer 4

CERTIFICATE OF APPLICANT

It is understood and agreed that any misrepresentation by me in this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. I further understand that this is an application for employment as an employee "at will" and that no employment contract is being offered. I understand that if I am employed, such employment is for no definite period of time and that Joe Lamb Jr. & Associates can change wages, benefits, and conditions at any time or terminate me without cause or notice. I understand that I may resign at any time with or without notice or cause.

I give the Employer the right to investigate all references and representations made by me in the application or interview process and to secure additional job related information about me. I hereby release from liability the Employer and its representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

I have read and understand the above: