College:
Business or Trade School:
Employment Desired
General
Former Employers
(List below last four employers, starting with most recent)
Employer 1:
Employer 2:
Employer 3:
Employer 4:
References
Give below the names of three persons, not related to you, whom you have know at least one year.
References 1
References 2
References 3
Authorization
"I certify that the facts contained in this application are true and complete to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have; personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. I understand and agree that, if hired, my employment will be for no definite period and may, regardless of the date of payment of wages, be terminated at any time without previous notice and with or without reason, at the will of either myself or Branneky and Sons Mercantile Company, Inc."
Printed applicant signature box is to be filled out when all information, if any, above is filled out to the best of the applicants knowledge. Filling out the "printed applicant signature" box is the applicants signature before having employment application submitted to employer for review.
