Qualified applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status or disability.
If yes, when?
If yes, please give dates and details:
Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Begin with most recent position
Dates of Employment:
Please, no former employers or relatives.
I certify that my answers aretrue and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, and other related matters as may be necessary for an employment decision. I hereby release employers, schools, or individuals from all liability when responding to inquiries in connection with my application.
In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.