Employment Application

Please furnish the names, addresses, and telephone numbers of two people to whom you are not related and by whom you have not been employed.

I certify that I am at least 15 years old and my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision. I hereby release employers, schools or persons from all liability when responding to inquiries in connection with my application. If this application leads to employment, I understand that false or misleading information in my application or interview my result in my immediate release.