Please list all of your jobs in the past 10 years. (If applicable, you may list work performed on a voluntary basis. If additional pages are needed, please attach.)
I hereby certify that the information contained in this application form is true and correct to the best of my knowledge and agree to have any of the statements checked by the Company unless I have indicated to the contrary. I authorize the references listed above, as well as all other individuals whom the Company contacts, to provide the Company any and all information concerning my previous employment and any other pertinent information that they may have. Further, I release all parties and persons from any and all liability for any damages that may result from furnishing such information to the Company as well as from any use or disclosure of such information by the Company or any of its agents, employees, or representatives. I understand that any misrepresentation, falsification, or material omission of information on this application may result in my failure to receive an offer or, if I am hired, my immediate dismissal from employment.
I also understand that all offers of employment are conditioned on the Company's receipt of satisfactory responses to reference requests, a criminal background check and the provision of satisfactory proof of an applicant's identity and legal authority to work in the United States.