Employment Director of Engineering Form

Employment Director of Engineering Form

Personal Information

Date of Application:

Position Information

Proposed Start Date:

Employment History (most recent first)

Employer 1

Employer 2

Education

Graduation Date:

References (professional)

Reference 1

Reference 2

Reference 3

Legal Disclosures and Consents

At-Will Employment: I understand that if employed, my employment will be at-will and either I or the employer may terminate the employment relationship at any time, with or without cause or prior notice, unless a written agreement signed by authorized company representatives provides otherwise.

Equal Opportunity Statement: The employer provides equal employment opportunity and does not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or other protected characteristics as required by applicable law.

Background and Reference Checks: I authorize the employer to verify all information provided in this form and to obtain background checks, criminal history records, and to contact past employers and references for employment verification and job-related information.

Applicant Criminal Disclosure: Have you ever been convicted of a felony or been subject to a deferred adjudication for a felony? (A conviction is not an automatic bar to employment; factors such as date and nature of offense will be considered.)

Applicant Certification and Authorization

I certify that the information provided in this application is true, complete, and correct to the best of my knowledge. I understand that any falsification, omission, or misrepresentation of information may result in denial of employment or, if employed, termination. I authorize the release of any information necessary to verify my application. I acknowledge that I have read and understand the disclosures and consents above.

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