Employment Application Form

Name *
Name
Today's Date *
Today's Date
Your Phone number *
Your Phone number
Your Home Address *
Your Home Address
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PROOF OF U.S CITIZENSHIP OR IMMIGRATION STATUS WILL BE REQUIRED UPON EMPLOYMENT
EDUCATION AND TRAINING
COLLEGE
ADDITIONAL TRAINING
EMPLOYMENT SECTION
Please list your current or most recent employment first.
Employer 1 (Telephone number) *
Employer 1 (Telephone number)
Employer 1 Start Date (current or most recent job) *
Employer 1 Start Date (current or most recent job)
Employer 1 End Date. If currently working here, please write today's date *
Employer 1 End Date. If currently working here, please write today's date
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Employer 2 (Telephone number)
Employer 2 (Telephone number)
Employer 2 Start Date
Employer 2 Start Date
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$
Employer 3 (Telephone number)
Employer 3 (Telephone number)
Employer 3 Start Date
Employer 3 Start Date
Employer 3 End Date
Employer 3 End Date
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$
Employer 4 (Telephone number)
Employer 4 (Telephone number)
Employer 4 Start Date
Employer 4 Start Date
Employer 4 End Date
Employer 4 End Date
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AUTHORIZATION “I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND UNDERSTAND THAT, IF EMPLOYED, FALSIFIED STATEMENTS ON THIS APPLICATION SHALL BE GROUNDS FOR DISMISSAL. I AUTHORIZE INVESTIGATION OF ALL STATEMENTS CONTAINED HEREIN 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 OTHER WISE, 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 AUTHORIZATION 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 THE COMPANY PRESIDENT. SPRINGFIELD PLAZA LAUNDROMAT AND CLEANERS FOLLOWS THE TRADITIONAL, COMMON-LAW THEORY OF "EMPLOYMENT-AT-WILL". THAT THEORY IS: AN EMPLOYEE CAN QUIT ANY JOB AT ANY TIME WITHOUT GIVING THEIR EMPLOYER A REASON FOR THEIR DECISION OR ANY ADVANCE NOTICE THAT THEY ARE LEAVING; SIMILARLY, AN EMPLOYER CAN END THE RELATIONSHIP WITHOUT NOTICE OR REASON. I ALSO UNDERSTAND THAT MY TERMS OF EMPLOYMENT CAN BE CHANGED AT ANY TIME, WITH OR WITHOUT CAUSE OR NOTICE, BY THIS ORGANIZATION. I ALSO UNDERSTAND THAT I AM REQUIRED TO ABIDE BY ALL RULES AND REGULATIONS OF THIS EMPLOYER.”
By checking this box and typing my name below, I am electronically signing my application for employment at Springfield Plaza Laundromat and Cleaners *
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