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Employment Application

Step 1 of 5 - Applicant Information

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  • Date Format: MM slash DD slash YYYY
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  • Degree (Bachelors, Associates, etc.)Field of Study 
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  • Full NameRelationshipCompanyPhone #Address 
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  • CompanyPhoneAddressJob titleSupervisorResponsibilitiesFromToReason for LeavingMay we contact your previous supervisor for a reference? 
    Give at least 5 years of previous employment history, please include any self employment
  • Military Service

  • Date Format: MM slash DD slash YYYY
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  • It is the policy of Quality Maintenance Ent., to provide employment opportunities to all qualified persons without regard to race, age, color, sex, religion, disability, or marital status.

    prospective Employee Release of Information Form For Employment

    In connection with my application for employment with Quality Maintenance Enterprises, I hereby agree as follows:

    1. GENERAL CONSENT TO BACKGROUND INVESTIGATION

      As a condition of consideration of my employment application, I give permission to Quality Maintenance Enterprises to investigate my personal and employment history. I understand that this background investigation will include, but not be limited to, verification of all information on my employment application.

    2. CONSENT TO CONTACT PAST EMPLOYERS

      I specifically give permission to Quality Maintenance Enterprises to contact all of my prior employers for references. I further give permission to all current or previous employers and/or managers or supervisors to discuss my relevant personal and employment history with Quality Maintenance Enterprises, consent to the release of such information orally or in writing, and hereby release them from all liability and agree not to sue them for defamation or other claims based upon any statements that make to any representative of Quality Maintenance Enterprises. I further waive all rights I may have under law to receive a copy of any written statement provided by any of my former employers for any liability they may incur because of their reliance upon this Agreement.

  • Signature

    By signing below, I certify that my answers are true and complete to the best of my knowledge.
    If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
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