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Application for Employment 2

  • GENERAL INFORMATION

  • MM slash DD slash YYYY

  • EDUCATION

  • Add your education levels and details; you can use the + button to add more education levels as needed.
    School LevelName and LocationYears AttendedGraduated?Subjects Studied 

  • SKILLS AND TRAINING

  • For multiple licenses held; you can use the + button to add additional licenses as needed.
    Name of Group:State:Registration / license number:Date of expiration: 

  • WORK HISTORY

    Below, add your work and employer details for your last 3 positions, starting with your present or most recent position.
  • Position HeldStart DateEnd DateHourly Rate StartingHourly Rate EndingFinal Annual Income 

  • Position HeldStart DateEnd DateHourly Rate StartingHourly Rate EndingFinal Annual Income 

  • Position HeldStart DateEnd DateHourly Rate StartingHourly Rate EndingFinal Annual Income 

  • MILITARY SERVICE

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

  • BACKGROUND INFORMATION

    Each case is considered separately based on job duties and performance areas.

  • PERSONAL REFERENCES

    Below, add the names of 3 people you are not related to, and whom you have known at least 1 year.
  • NameAddress/phone numberBusinessYears known 

  • CERTIFICATION

    I certify that all the answers and statements from this application are true and complete to the best of my knowledge, and I authorize the investigation of all the statements contained within this employment application. I further understand that false or misleading information may result in a decision by Custom Services not to employ me, or if employed, to terminate my employment. I also understand that as an employee of Custom Services, I am required to abide by all company rules and regulations.

    I understand that this application and/or any offer of employment which I may receive from Custom Services does not, and is not intended to, create a contract of employment. I understand that any employment relationship which may arise between the Custom Services and me will be an “at will relationship”, which means that Custom Services reserves the right to change, modify, suspend, revoke or terminate my employment at any time, without reason and with or without cause or notice.

  • You must accept the terms in order to send this form.
  • This field is for validation purposes and should be left unchanged.