Employee Processor Application

EMPLOYEE PROCESSOR APPLICATION

Please complete all sections of this application. Incomplete responses may delay consideration. All information provided will be used solely for evaluation of suitability for the Processor position and related employment processes, including reference checks and background screening where authorized below.

Personal Information

Full Legal Name:

Date of Birth:    Are you legally authorized to work in this country? Yes

Position Information

Department:    Reporting Manager:

Desired Start Date:    Desired Salary:

Full-time    Part-time    Temporary/Contract

Employment History

Employer 1

Title/Position:    Start Date:    End Date:

Employer 2

Title/Position:    Start Date:    End Date:

Education

Graduation Date:

References

Provide three professional references (no relatives).

Legal Disclosures and Authorizations

At-Will Employment: If hired, employment is at-will, unless otherwise provided in a written agreement signed by an authorized representative. Either the employee or the employer may terminate the employment relationship at any time, with or without cause or notice, except as restricted by law.

Equal Opportunity: The employer provides equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, national origin, age, disability, genetic information, or any other characteristic protected by law.

Background Check and References: By selecting the authorization below, I authorize the employer to obtain and review information regarding my employment history, criminal history, education, and other records as permitted by law. I understand that an adverse result may affect my eligibility for employment and that any offer may be conditioned upon satisfactory results.

I authorize the employer to obtain background checks and to contact my former employers and listed references.

Conviction Disclosure: Have you been convicted of a felony within the last seven years?    No    Yes

Applicant Certification

I certify that all information contained in this application is true, complete, and correct to the best of my knowledge. I understand that any misrepresentation, omission, or falsification may be grounds for denial of employment or termination. I authorize the investigation of all statements contained in this application and agree to cooperate in verifying any information provided.

I certify that the information I have provided is true and complete.

Background Check Consent: I consent to the employer's background check and release of information to the employer for employment purposes.

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