Application for Employment Second Stage

Previous Employment: List your last five (5) years of Employment – Starting with your last job

First Previous Company Detail

Second Previous Company Detail

Third Previous Company Detail

Education Background

Applicant Statement

I understand and agree that the employment for which I am making application is, and intended to be, “At Will
and such employment may be terminated at any time with or without cause, with or without prior notice by either my employer or me. Any change to the “At Will” employment relationship can only be made in writing and only by the managing partner.

Any offer of employment have been read, are understood, and if offer is herewith accepted. I understand that my employment is contingent upon completion of background check, drug test, or any other contingencies the employer and/or Department of Justice require for position(s).

I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal.