APPLICATION FOR EMPLOYMENT

It is not necessary to disclose any information regarding race, creed, color or national origin. The Age Discrimination in Employment Act of M
1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age.

APPLICATION FOR EMPLOYMENT

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Education

High School
College
Vocational or Technical School
Other (Specify)
Other (Specify)
Military Service
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Employment

Begin with your latest or present employer. Include all employment in the last ten years, at least. If you need more space, request an additional sheet

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Special Skills

Please indicate with a checkmark whether you have any of the special skills listed below:

I agree that any false statement or omission in this application shall be cause for rejection or dismissal. I hereby authorize SPSI to verify any of the information included in this application and I release from liability those supplying such information. If an offer of employment is made, I agree to submit to a pre-employment physical and drug screening and I understand that any employment offer may be conditional on the passing of such tests. I will also provide proof of my right-to-work as required by the “Immigration Reform & Control Act of 1986”. The use of this application form does not indicate there are positions open and does not in any way obligate SPSI to provide employment. I understand that, should I be employed, my employment is not for any definite period or succession of periods and is considered any “at will” arrangement. This means I am free to terminate my employment at any time and for any reason, as is SPSI.

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