Employment Application

Personal Information

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Skills

Education

High School

College, Business or Trade

Professional School

Other

Employment History

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Reference

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General Information

Notices

Please read the following paragraphs carefully and initial beside each before signing.

By my signature and initials placed below, I certify that the information provided in this employment application (and accompanying resume, if any) is true and complete. I understand that any false information or significant omissions may disqualify me from further consideration for employment, and may be justification for my dismissal from employment, if discovered at a later date. I agree to immediately notify the Company if I should be convicted of a felony or any crime involving dishonesty or a breach of trust while my job application is pending, or during my period of employment, if hired.

I understand that consideration for employment in this position is contingent upon the results of a reference and background check. I, therefore, authorize the Company to investigate all statements made on my application for employment and to discuss the results of its investigation with those responsible for hiring. I further authorize the Company to contact my former employer(s) and any listed references or other persons who can verify information. I give my consent for the former employer(s) and other contacted persons to respond to questions pertaining to information on this application. Also, I release from liability such former employer(s) or other persons contacted by providing information to the Company.

I authorize any persons, schools, current employers and organizations named in this application to provide the Company with relevant information and opinions that may be useful to the Company in making a hiring decision, and I release such persons and organizations from any legal liability in making such statements.

I understand that this application does not create a contract of employment. I understand and agree that, if hired, my employment will be subject to the Employment-at-Will doctrine. This means that I may terminate my employment at any time, with or without notice and with or without cause, and the Company may terminate my employment at any time, with or without notice and with or without cause.

Chandler (U.S.A), and its subsidiaries are equal opportunity employers. Applicants will receive consideration for employment without discrimination because of race, religious creed, color, ancestry, age, sex, disability, national origin, marital or veteran status.