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Employment -
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APPLICATION FOR EMPLOYMENT

REFERRAL SOURCE

How did you hear about the position for which you are applying?

PERSONAL INFORMATION

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(Proof of eligibility will be required upon employment) 

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(Note: You need not identify convictions that have been sealed, expunged, dismissed, or otherwise eradicated by statute or court order, any conviction for a marijuana offense if the conviction is more than two years old, or any information pertaining to referral to and participation in any pre-trial diversion program. Such conviction may be relevant if job-related, but does not necessarily bar you from employment.)

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AVAILABILITY

Please indicate when you are available to work:
SundayMondayTuesdayWednesdayThursdayFridaySaturday

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EDUCATION

Name & LocationYears CompletedDegreeMajor
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WORK EXPERIENCE

List your last three employers, starting from the most recent. You may also include non-paid volunteer experience or extra-curricular activities. Please complete this section even if you attach a resume.
Dates EmployedCompany & AddressPosition & DutiesNumber of Hrs. per Week WorkedSupervisor & Phone NumberPayReason for LeavingMay We Contact for a Reference?
Add more Work EXPERIENCES +
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REFERENCES


Please provide contact information for present or previous supervisors (not related to you). Supervisory references from school, volunteer organizations or extra-curricular interests are acceptable if no others are available.
Add more references +

SUPPLEMENTAL INFORMATION

CERTIFICATION

Please read carefully, initial each paragraph and sign below:
 I hereby certify that I have not knowingly withheld or misrepresented any information pertaining to my application for employment and that the answers given by me are true and correct to the best of my knowledge. I understand that any omission or misstatement of material fact on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.
 I hereby authorize D’Sapone Restorations to thoroughly investigate my references, work record, education and other matters related to my suitability for employment and, further, authorize the references I have listed, or any additional references identified by me or D’Sapone Restorations to provide any relevant information regarding my current and/or previous employment. In addition, I hereby release all persons, schools and employers of any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.
 I understand and agree that as part of the employment process, I may be asked to sign a separate form authorizing D’Sapone Restorations to obtain a Consumer Report and/or Investigative Consumer Report from a consumer reporting agency. I further understand that any offer of employment may be contingent upon the successful completion of a background check.
 I understand and agree that, if employed by us, my employment with D’Sapone Restoration is at-will and can be terminated with or without cause and with or without notice at the option of either me or D’Sapone Restorations. No manager or representative of this Company has the authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to this at-will relationship. Any such agreement must be in writing and signed by the President and me. This express at-will agreement constitutes the entire agreement between me and D’Sapone Restoration with respect to the duration of my employment or the circumstances or conditions under which my employment may be terminated. This at-will agreement supersedes and precludes the existence of any contrary agreements, expressed or implied.
 I understand and agree that, if hired, at all times during the term of employment and after the expiration or termination, I will keep all Confidential Information in the strictest of confidence and I will not disclose to any person, agents or representatives unless required by law. I will not use any Confidential Information except for the purpose of fulfilling my obligations with this employment.  I will sign a Non-Compete and a Confidential Agreement if asked.
Confidential Information includes without limitation: product recipes, mixes and formulas and knowledge of specifications for and suppliers of all equipment, fixtures, furnishings, signs, materials, supplies and ingredients.
 I understand and agree that if hired, upon termination of my employment I will promptly return all property belonging to this Company, including but not limited to uniforms, keys, computer equipment and credit cards
YOU AGREE TO BE BOUND BY THIS AGREEMENT REGARDING THE PRODUCTS AND SERVICES.

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