APPLICATION FOR EMPLOYMENT

It is not necessary to disclose any information regarding race, creed, color or national origin. The Age Discrimination in Employment Act of M
1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age.

APPLICATION FOR EMPLOYMENT

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Education

High School
College
Vocational or Technical School
Other (Specify)
Other (Specify)
Military Service

Employment

Begin with your latest or present employer. Include all employment in the last ten years, at least. If you need more space, request an additional sheet

Special Skills

Please indicate with a checkmark whether you have any of the special skills listed below:

I agree that any false statement or omission in this application shall be cause for rejection or dismissal. I hereby authorize SPSI to verify any of the information included in this application and I release from liability those supplying such information. If an offer of employment is made, I agree to submit to a pre-employment physical and drug screening and I understand that any employment offer may be conditional on the passing of such tests. I will also provide proof of my right-to-work as required by the “Immigration Reform & Control Act of 1986”. The use of this application form does not indicate there are positions open and does not in any way obligate SPSI to provide employment. I understand that, should I be employed, my employment is not for any definite period or succession of periods and is considered any “at will” arrangement. This means I am free to terminate my employment at any time and for any reason, as is SPSI.

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