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Enter The NUMBER OF YEARS You Either Operated The Equipment Or Performed Work Listed:

Education And Training

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Previous Employment

May We Contact This Employer?
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References

Authorization

I certify that the information provided in this application of employment is true and correct to the best of my knowledge. I understand that, if employed, falsified statements on this Application for Employment form can be reconsidered and stand for grounds of termination. I authorize Powell Restoration , Inc. to thoroughly investigate my work experience and any oth er materials released to verify my suitability for employment. I further authorize my former employers to disclose to Powell Restoration , Inc. any and all information they may have concerning my previous employment or involvement. In addition, I hereby rel ease Powell R estoration Inc., my former employers and all other persons from any and all claims, demands or liabilities arising out of, or in any way related to, such disclosure. I acknowledge that if employed, both Powell Restoration , Inc. and I have the right to terminate the employment at any time, with or without cause or advance notice. This employment at will relationship will remain in effect thought my employment with the company and may not be modified by and oral agreement. This waiver does not pe rmit the release or use of disability – related or medial information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document upon hire.
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