Applicant Details
Employment Desired
Educational Background
Highschool:
College:
Graduate School:
Most recient/current position:
Previous Position:
References
Military Service
Background:
Please Read and Initial Each Paragraph, then Sign Below
I certify that I have not purposely withheld any information that might adversely affect my chances for hiring.
I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand
and that any omission (including any misstatement) of material fact on this application or on any document used to secure can be
grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.
____
I understand that if I am employed, my employment is not definite and can be terminated
by either me or the company at any time either with or without prior notice.
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I permit the company to examine my references, record of employment, education record, and any other information I have
provided. I authorize the references I have listed to disclose any information related to my work record and my professional
experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers & all other persons, corporations, partnerships & associations from any & all claims, demands or liabilities arising out of or in any way related to such examination or revelation.
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Applicant's Signature:
__________________________________________________
Date:
_________________________________
An Equal Opportunity Employer
Summit is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from
consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable
accommodation in the application and/or interview process should notify a representative of the organization