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
Company Name, Address and Phone
How long have you lived at above address
Job Title & Supervisor's Name
Have you been reprimanded or disciplined at any place of employment for any reason?
Have you been discharged or requested to resign at any place of employment for any reason?
May we contact your prior employers?
Please indicate with a checkmark whether you have any of the special skills listed below:
Describe below any other job-related skills or additional information that may be helpful to us in considering you for employment:
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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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