• EMPLOYMENT APPLICATION

    Personal Information

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Education

    High School - Name and Address of School

  • College - Name and Address of School

  • Graduate School - Name and Address of School

  • Other - Name and Address of School

  • U.S. Military Service

  • Legal

    (Identity and employment eligibility of all new hires will be verified as required by the Immigration Reform and Control Act of 1986).
  • Employment History

    List employment starting with your most recent position. Account for any time during this period that you were unemployed by stating the nature of your activities.

  • Employer

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Name and Address of Employer
  • Employer

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Name and Address of Employer
  • Employer

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Name and Address of Employer
  • References

    Business references: (do not list relatives) (please indicate if you were employed under a different name)

  • Please read carefully

    In submitting this application for employment, I understand that an investigation may be made whereby information is obtained regarding my character, previous employment, general reputation, educational background, credit record and/or criminal history. I authorize anyone possessing this information to furnish it to La Boit, Inc. and/or a 3rd party company upon request and I release anyone so authorized, La Boit, Inc. and any 3rd party company from all liability and damages whatsoever in furnishing, obtaining or using said information.

    In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in immediate dismissal. I understand also, that I am required to abide by all rules and regulations of La Boit, Inc. I understand and agree that if employed, the employment will be ‘at will’. That is, either I or La Boit, Inc. may end the employment relationships at any time, for any reason, or for no reason. I understand that receipt of this application by La Boit, Inc. does not imply employment and that this application and/or any other La Boit, Inc. documents are not contracts of employment.

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