List all employment during the past 10 years. If there have been more than 3 jobs held during this time, please include information in the notes at the bottom of this section.
When completing this section, do not disclose information regarding convictions that have been judicially erased, sealed, eradicated, impounded or dismissed. Do not disclose information regarding juvenile court convictions or minor civil traffic violations. A conviction record does not automatically bar you from employment. All of the job-related circumstances surrounding convictions will be considered.
Please provide all three.
Authorization and Understanding
Release of Prior Personnel Records
By signing this application, I agree that all of the information now or later given by me in support of my application for employment is true and complete. I understand that you may verify any of the information concerning my employment, education, or medical history with the appropriate individuals, organizations, or governmental agencies. I give these individuals, organizations, or governmental agencies my permission to release any information that you need, including my previous disciplinary record, without requiring them to contact me or give me written notice before revealing the information to you. I agree that any false information in support of my application may subject me to discharge at any time during my employment.
At-Will Employment Status
I AGREE THAT EITHER PARTY MAY TERMINATE THE EMPLOYMENT RELATIONSHIP, WITH OR WITHOUT CAUSE, AT ANY TIME FOR ANY REASON. I agree that I shall be bound by the other rules, policies, additional obligations can be imposed by me on the Company as they are from time to time changed and that no additional obligations can be imposed by me on the Company except those which have been acknowledged, in writing, by the Company President or his/her designated representative. I agree that as a Company policy, two week notice of employee termination of this agreement is reasonable and expected. I further agree that my employment is conditional upon satisfactory completion of documentation as required by the Immigration Reform and Control Act of 1986 and until such time as the results of my pre-employment physical (if such physical is required) are known.
I AGREE THAT ANY CLAIM OR LAWSUIT RELATING TO MY SERVICE WITH THE COMPANY OR ANY OF ITS SUBSIDIARIES MUST BE FILED NO MORE THAN SIX (6) MONTHS AFTER THE DATE OF THE EMPLOYMENT ACTION THAT IS THE SUBJECT OF THE CLAIM OR LAWSUIT. I WAIVE ANY STATUTE OF LIMITATIONS TO THE CONTRARY.
Thank you for submitting your online application. We will be in touch with you soon to follow up with any details and to possibly schedule an interview.
If you have any immediate questions, please call: 262-354-3700.
AT YOUR SERVICE Inc. Owner