Employment History:

Please briefly list your past employment, beginning with the most recent employer.

Applicant's Statement and Agreement

I certify that all information on the Application for Employment and my resume is true, correct, and complete to the best of my knowledge. If employed, any misstatement or omission of fact on this application may result in my dismissal.

I hereby attest to my sincere interest in being hired by this Firm.

I certify that I am lawfully authorized to work in the United States, can produce the required documentation, and if employed will complete and sign a verification form after being offered and accepting employment.

I authorize persons and schools, as well as my current and previous employers and organizations named in this application and accompanying resume, to provide any relevant information that may be required to arrive at an employment decision.

I understand that if hired, a physical exam may be required and I do not object to taking this exam at the Firm's expense.

I understand that this Application for Employment is not a contract of employment and that if I am hired, I may voluntarily leave employment for any reason. Likewise, the company may terminate my employment for any reason. Any representations to the contrary in any related company document or by any representative of the company should not be relied upon or be construed as company policy.