Location Applying To —Please choose an option—EDGEWATERPERRY HALLWALDORFODENTONABERDEENELLICOTT CITYASHBURNMANASSASMANASSAS PARKSPRINGDALE
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Position Applying For
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Are you eligible to work in the U.S.? yesno
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Educational Background HIGH SCHOOLCOLLEGEOTHER
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DISCLAIMER:
I CERTIFY THAT ALL INFORMATION I HAVE PROVIDED IN ORDER TO APPLY FOR AND SECURE WORK WITH THE EMPLOYER IS TRUE, COMPLETE AND CORRECT.
I UNDERSTAND THAT ANY INFORMATION PROVIDED BY ME THAT IS FOUND TO BE FALSE, INCOMPLETE OR MISREPRESENTED IN ANY RESPECT, WILL BE SUFFICIENT CAUSE TO CANCEL FURTHER CONSIDERATION OF THIS APPLICATION AND/OR IMMEDIATELY DISCHARGE ME FROM THE EMPLOYER’S SERVICE, WHENEVER IT IS DISCOVERED.
I EXPRESSLY AUTHORIZE, WITHOUT RESERVATION, THE EMPLOYER TO CONTACT AND OBTAIN INFORMATION FROM ALL REFERENCES AND TO OTHERWISE VERIFY THE ACCURACY OF ALL INFORMATION PROVIDED BY ME IN THIS APPLICATION.
I UNDERSTAND THAT THE EMPLOYER DOES NOT UNLAWFULLY DISCRIMINATE IN EMPLOYMENT AND NO QUESTION ON THIS APPLICATION IS USED FOR THE PURPOSE OF LIMITING OR EXCUSING ANY APPLICANT FROM CONSIDERATION FOR EMPLOYMENT ON A BASIS PROHIBITED BY APPLICABLE LOCAL, STATE OR FEDERAL LAW.
I ALSO UNDERSTAND THAT IF I AM HIRED, I WILL BE REQUIRED TO PROVIDE PROOF OF IDENTITY AND LEGAL AUTHORITY TO WORK IN THE UNITED STATES AND THAT FEDERAL IMMIGRATION LAWS REQUIRE ME TO COMPLETE AN I-9 FORM IN THIS REGARD.
I CERTIFY THAT I HAVE READ, FULLY UNDERSTAND AND ACCEPT ALL TERMS OF THE FOREGOING APPLICANT STATEMENT. Signed
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