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Application for Employment

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School History

School Name City Course of Study Years Completed Did you Graduate? Degree/Diploma Obtained
High School
Technical School
Graduate School

Employment History

Applicants Certification and Agreement

“I hereby certify that the facts set forth in the above application are true and complete to the best of my knowledge. I understand that, if employed, false statements on this application shall be considered sufficient cause for dismissal. I authorize a thorough investigation of my past employment, criminal, credit, driving, and school records and activities. I agree to release from liability or responsibility all persons and corporations requesting or supplying such information. I understand that employment with Gallins Foods is contingent upon the successful completion of a drug screen test. Successful completion of the test is no guarantee of employment or job availability. My typed name and initials below represent my signature for the purposes of this document, signifying my agreement to, and understanding of, the statements above.”

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