“WE ARE AN EQUAL OPPORTUNITY EMPLOYMENT ORGANIZATION. WE ARE DEDICATED TO A POLICY OF NON-DISCRIMINATION IN EMPLOYMENT ON ANY BASIS INCLUDING RACE, CREED, COLOR, AGE, SEX, RELIGION, NATIONAL ORIGIN, DISABILITY, MARITAL STATUS, OR ARREST RECORD”
FORMER EMPLOYERS:
LIST BELOW LAST FOUR EMPLOYERS, START WITH LAST ONE FIRST
I HEREBY GIVE AUTHORIZATION TO CHECK THE REFERENCES GIVEN IN THIS APPLICATION. I UNDERSTAND THAT MISREPRESENTATION OR OMISSION OF FACTS CALLED FOR WILL NOT BE INTERPRETED IN MY FAVOR.