We may contact the employers listed above unless you indicate that you do not want us to contact.

Please answer the following questions honestly and to the best of your ability.

2)Have you ever worked for any of the following companies? If so, please list dates Employed and what position you held.

The answers to the following questions are required for a legally permissible reason including, and without limitation to, national security considerations, legitimate occupational qualifications, or business necessity. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal Law also prohibits discrimination based on age and citizenship. The laws of most states also prohibit all of the above types of discrimination as well as some types of discrimination based upon ancestry, marital status or physical or mental handicap or disability.

The information provided in the Application for Employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal. I understand that acceptance of any offer of employment does not create a contractual obligation upon the employer to continue the employ me in the future. If you decide to engage in an investigative consumer reporting agency on my credit and personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain the nature and substance of the information contained in the report.