Application - Diversified Interiors

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This company does not discriminate in hiring employment on the basis of race color religion creed, national origin, citizenship, sex, veteran status, disability, ancestry or on the basis of age of persons whose age is forty and above. No question on this application is intended to secure information to be used for any such unlawful purpose. The company will not be able to continue employment unless an applicant's background meets set hiring standards.

Background Information

Your Name(Required)

First Middle Last

Social Security Number(Required)

Phone(Required)

Email Address(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Are You Legally Entitled To Work In The U.S.?

YES

Have you ever been convicted of or pled guilty to any type of crime or offense other than minor traffic violations?(Required)

A conviction Record will not necessarily be a bar to employment as

YES

Date

Place

Court

Type of Offense

Acknowledgement(Required)

I certify that all statements and representations made in this application are true and correct and I have withheld nothing which would, if disclosed, adversely affect my application. I understand that the Company relies upon such statements in making its employment decisions, and I authorize the Company to investigate all such statements contained therein. I understand and agree that any misrepresentation will be sufficient cause for cancellation of the application and/or separation from the Company if such misrepresentation is discovered at any time after my employment by the Company.
I hereby authorize the Company to contact all employers for reference purposes, and I release the Company from any and all liability, including liability arising from the employer’s verification of my prior employment history, criminal record, references, and any other background information. Additionally, I authorize the Company to supply my employment record, in whole or in part, and in confidence, to any prospective employer, government agency, or other party with legal or proper interest. I release from any and all liability, including liability arising from negligence, all persons and entities who supply the company with information pertaining to my prior employment history, criminal record, references, and any other background information. Furthermore, if I am employed by the Company, I agree as a condition of continued employment to otherwise cooperate with any internal investigation conducted by the Company.
Nothing contained in the employment application shall constitute a contract of employment, and I understand and agree that if I am employed, such employment will be “at will.” I understand that any oral statements made to the contrary are not authorized by the Company management and should not be relied on by me. In the event of my employment, I will comply with all rules and regulations as set forth by the Company’s Policy Manual or other communications distributed to all employees. I hereby acknowledge that I voluntarily sign and have read and understand the above information.

I agree to the terms and conditions.

Date(Required)

Applicant Name(Required)

Employment Application

Background Information

Military Service Background

Job Specifications/Information

Job Positions

Experience

Past Employment