Part-Time Account Coordinator

(Include Military Service)

Give the names of three references not related to you.

I certify that the facts I have given in this application are true and complete to the best of my knowledge. I understand that a material misstatement, misrepresentation or omission of facts is cause for denial or termination of employment, regardless of when or how discovered. I authorize the investigation of all information on this application or otherwise provided by me in support of this application. As part of this, I authorize my current and prior employers and references to furnish information about me and my employment record, unless specifically and clearly noted otherwise on this application. I release all individuals and employers from liability as a result of any information furnished. I understand that it is the company’s policy to afford equal opportunity to all applicants without regard to race, color, religion, sex, national origin, age, disability, marital or veteran’s status or other legally protected status. I also understand that completion of this application form and the application process does not mean that I have been employed. If employed, I understand that my employment is at will and for no specified term or duration.

In making this application, I understand that a background report (sometimes called a “consumer report” or an “investigative consumer report”) may be made about my credit, character, general reputation, personal characteristics, and mode of living. Information may be obtained from criminal records, driver’s license(s) records, education verification, and other records checks. In addition, information may be obtained in some cases through personal interviews with my neighbors, friends, family, business and personal associates, and others with whom I am acquainted. I hereby authorize such an investigation and report. I understand that I have the right to make a written request within a reasonable time for additional, detailed information about the nature and scope of this pre-employment investigation.