Candidates

Employee Application

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Step 1 of 6

V. EMPLOYMENT INFORMATION

Begin with current or most recent employer

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Company Name (1)

Phone Number

Worked From (1)

Worked To (1)

Address (1)

Address Line 1

Address Line 2

City

State

Zip Code

Starting Pay (1)

Ending Pay (1)

Job Title (1)

Duties (1)

Supervisor Name (1)

Reason for leaving (1)

May we contact this employer? (1)

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Company Name (2)

Phone Number (2)

Worked From (2)

Worked To (2)

Address (2)

Address Line 1

Address Line 2

City

State

Zip Code

Starting Pay (2)

Ending Pay (2)

Job Title (2)

Duties (2)

Supervisor Name (2)

Reason for leaving (2)

May we contact this employer? (2)

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Company Name (3)

Phone Number (3)

Worked From (3)

Worked To (3)

Address (3)

Address Line 1

Address Line 2

City

State

Zip Code

Starting Pay (3)

Ending Pay (3)

Job Title (3)

Duties (3)

Supervisor Name (3)

Reason for leaving (3)

May we contact this employer? (3)

Please account for any time you were not employed in the last 10 years, or since leaving school.

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Time Period

Reason for Unemployment

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Time Period

Reason for Unemployment

VI. ACKNOWLEDGMENT

Please read carefully, initial each paragraph, and sign below.

Initial by selecting the checkbox

I hereby certify that I have not withheld or misstated any material facts that might adversely affect my application for employment and that the answers given by me are true and correct. I further certify that I, the undersigned applicant, have personally completed this application. I understand that any omission or misstatement of material fact on this application or any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

Initial by selecting the checkbox

I hereby authorize COS to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment, and further, I authorize my former employers listed in this application to speak to officials of and disclose to COS any and all letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. I authorize the disclosure of this information in compliance with and in waiver of my rights under applicable privacy legislation.

Initial by selecting the checkbox

I understand that some positions at COS require criminal background checks and that a criminal conviction is not an automatic disqualification for hire. I understand that I will be notified and will provide additional written authorization in the case a criminal background check is required for a position I may hold.

VII. CONSET FOR BACKGROUND CHECK

As part of the application process, Creative Operating Solutions (COS) conducts background checks to ensure the suitability of potential employees. This may include checks on criminal history, employment history, education verification, and other relevant information.

Please read carefully, initial each paragraph, and sign below.

Acknowledgment and Authorization:

I acknowledge that COS may obtain information about me from a consumer reporting agency as part of the pre-employment background check and, if hired, at any time during my employment.

I understand that the background check may include, but is not limited to, a review of my criminal record, driving record, education history, employment history, credit history, and other relevant information.

Consent to Background Check:

I consent to and authorize COS and its designated agents and representatives to conduct a comprehensive background check as part of my application for employment.

I understand that this information will be used to determine my eligibility for employment and, if hired, my continued suitability for employment.

Release of Information:

I authorize all individuals, schools, companies, corporations, credit bureaus, law enforcement agencies, and government entities to release any information they may have about me to COS or its agents.

I release COS and all persons and entities providing information from any liability resulting from the furnishing or receipt of this information.

Rights and Disclosure:

I understand that I have the right to request a copy of the background check report and to dispute any inaccurate or incomplete information.

I acknowledge that I have received and read a copy of the “Summary of Your Rights Under the Fair Credit Reporting Act” (or applicable local laws) provided by COS.

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Sign by typing your name

Today's Date

Candidates

Employee Application

I. PERSONAL INFORMATION

II. EMPLOYMENT INTERESTS

III. EDUCATION INFORMATION

IV. REFERENCES

V. EMPLOYMENT INFORMATION

VI. ACKNOWLEDGMENT

VII. CONSET FOR BACKGROUND CHECK

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