Please list references from previous employment that ARE NOT RELATIVES (Give name, name of company, their position, address, and phone number)
List below all past and present employment, beginning with your most recent. Do not leave anything blank as it will only slow down your background check process for employment consideration.
Employer: Dates From: To: Employer Address: Employer Telephone Number: Job Title: Supervisor: Duties Performed: Reason For Leaving:
AuthorizationI understand that the employer follows an “employment at will” policy, in that the employer or I may terminate my employment at any time, or for any reason consistent with applicable state or federal law. I understand that this application is not a contract of employment. I understand that to be employed, I must be lawfully authorized to work in the United States and must show the employer documents to provethis.I understand that the company will investigate my work and personal history and verify all the data given on this application, on related papers and in the interviews. I authorize all individuals, schools, and firms named therein, except my current employer if so noted, to provide any information about me, and release them from all liability for damage in providing this information.