Job Estimator Position

Job Estimator Position — Application

Personal Information

Are you legally authorized to work in this country?    Yes    No

Are you 18 years of age or older?    Yes    No

Position Information

Reporting manager or contact (if known):

Date available to start:   Desired salary:

Employment type preferred:    Full-time    Part-time    Contract    Temporary

Willing to relocate?    Yes    No

Employment History — Most Recent Employer

May we contact this employer for a reference?    Yes    No

Employment History — Prior Employer

May we contact this employer for a reference?    Yes    No

Education

Professional References

Legal Disclosures

At-Will Employment: If offered employment, the employment relationship is at-will. This means that either the applicant or the employer may terminate the employment relationship at any time, with or without cause or notice, unless a separate written agreement signed by an authorized representative of the employer states otherwise.

Equal Opportunity: The employer is an equal opportunity employer. Employment decisions are made without regard to race, color, religion, sex, national origin, age, disability, genetic information, or any other protected characteristic under applicable law.

Background, Authorization and Disclosure

I authorize the employer to contact my previous employers, educational institutions, and references to verify information provided in this application and to obtain background information, including but not limited to criminal history, driving records, and credit history where permitted by law. I release any person or entity providing such information from liability for doing so in good faith.

Have you ever been convicted of a felony?    Yes    No

I consent to the employer obtaining background information as described above:    I consent

Applicant Certification

I certify that all information provided in this application and any accompanying documents is true, complete, and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of facts may result in denial of employment or, if hired, immediate termination. I understand that any offer of employment is contingent upon satisfactory verification of the information provided, including reference checks and any required background checks.

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