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EMPLOYMENT HISTORY

Company One

Company Two

REFERENCES

First Reference

Second Reference

CHECKBOXES

By checking the box below, I understand and acknowledge that, if hired, my employment is for no definite period and either the Employer or I may terminate our relationship at will anytime, without notice or reason, and that this employment application does not constitute an employment contract. I understand that any job offer extended to me will be contingent upon the successful completion of a drug and alcohol test. I authorize the Company to release to any person, firm, entity or organization with which I may seek employment in the future, any truthful information concerning my work experience with the Company. I hereby release and hold the Company harmless from any claim for releasing any truthful information within its knowledge and/or records. I certify that the information contained in this application is correct to the best of my knowledge and understand that any misstatement or omission of information may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal, or otherwise, and release all parties from all liability for any damage that may result from furnishing the same to you.

Magic Valley Concrete | | 208-731-7324