Membership in Professional or Civic Organizations - (exclude those which may disclose your race, color, religion or national origin)
Give accurate, complete full-time and part-time
employment record starting with your present or most recent employer.
Please read carefully before submitting your application
Prospective employees will receive consideration without discrimination
because of race, creed, color, sex, age, national origin, handicap or veteran
status. Certain information requested in this application for employment is
needed for a legally permissible reason, including, without limitation, national
security considerations, a legitimate occupational qualification 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, citizenship and disability. The laws of
most States also prohibit some or all of the above types of discrimination as
well as some additional types such as discrimination based upon ancestry,
marital status and sexual preference.
The information provided in this Application for Employment is true, correct
and complete. If you employ me, any misstatement or omission of fact on this
application may result in dismissal.
I understand that acceptance of an offer of employment creates no obligation
upon you, the employer, to continue me in the future.
* Check this box to certify that you have read and accept the above statement.