Careers

Note: Answering “Yes” to the following four questions does not constitute an automatic bar to employment. Factors such as age and time of the offense, seriousness and nature of the violation, and rehabilitation will be taken into account. (Do not include minor traffic citations and arrests or convictions which have been sealed or expunged in answering this question.)

Have you ever worked for this company before? If yes, please
give dates and position.

Have you ever pled guilty, or no contest to, or been convicted of
a felony? If yes, please give dates and details.

Have you ever pled guilty, or no contest to, or been convicted of
a misdemeanor resulting in imprisonment within the last seven
years? If yes, please give dates and details.

Have you been arrested for any matters for which you are out
on bail or on your own recognizance pending trial? If yes, please
give dates and details.

Have you been arrested for any matters for which you are out
on bail or on your own recognizance pending trial? If yes, please give dates and details.

RECORD OF PREVIOUS EMPLOYMENT

Have you ever been terminated or asked to resign from any
job? If yes, please explain the circumstances.

Please explain fully any gaps in your employment history:

May we contact your current employer? If no, please explain why.

Please indicate any qualifications or special skills.

Have you ever used another name?

Is any additional information relative to change of name, use of
an assumed name, or nickname necessary to enable a check on
your work and educational record? If yes, please explain.

Education

Personal References