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Position(s) applied for*
TranscriptionistMail room productionPackaging/kitting productionOffice/ClericalWarehouseForklift DriverDriver (Pick-up/delivery)Finance/AccountingITHRSalesManagementAny

Today's Date*

Name*

Address*

If you are under 16, can you furnish a work permit?
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Have you ever been employed here before? If yes, provide dates and positions.
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Please provide the following information regarding any employers you had in the last 7 years

Dates of Employment

Dates of Employment

Dates of Employment

Consistent attendance and punctuality are required for every job at Promotion Support Services, Inc. Is there anything which would interfere with your regular attendance and punctuality if you are offered a position?
YesNo

APPLICANT NOTIFICATION STATEMENT AND ACKNOWLEDGEMENT
PLEASE READ BEFORE SIGNING!!!!

I certify that all answers given by me are true, accurate, and complete. I understand that the falsification, misrepresentation, or omission of fact on this application (or any other accompanying or required documents) will be cause for denial of employment or immediate termination of employment, regardless of when or how discovered.

I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation.

It is the policy of PSS to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, sex, national origin, marital status, expunged juvenile records, or pregnancy, and to afford equal opportunities to disabled veterans, veterans of the Vietnam era, and individuals with a disability, and/or any other characteristic protected by Federal, State, or Local law.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as required by law. This application does not constitute an agreement or contract for employment for any specific period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer’s President.

I understand that this application remains current for only one year. At the end of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form regarding this.

Signing below indicates that you have read, fully understand, and accept all terms of the foregoing statement.

I accept these terms and conditions.

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