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PERSONAL BACKGROUND


POSITION APPLYING FOR: (select below) 


If driving is a requirement of the job which you are applying for, continued employment is contingent on your maintaining of a current driver’s license. 

*Verification and completion of the I-9 form much be completed before onboarding, if hired.

EDUCATION BACKGROUND

APPLICANT’S STATEMENT

By signing this application, I certify that all of the foregoing information is a complete and accurate statement of the facts and I undersign that if any misrepresentation, omission or falsification be discovered, it will constitute grounds for dismissal. I hereby authorize you to conduct any investigation necessary concerning any part of my background related to the position I am seeking. I release all parties from any liability in connection with the provision and use of such information.


I understand and agree that, if employed by the Manor, I will abide by its rules and regulations which I understand are subject to change. I further understand that, if hired, my employment is for no definite period of time and may be terminated by either party at any time.

WORK EXPERIENCE & REFERENCES

List below the last 4 employers, starting with your present or last place of employment. You may include such history of any verified work performed on a volunteer basis. 




REFERENCES

List three (3) references, persons not related to you, whom you have known for at least three years.



APPLICANT’S ACKNOWLEDGMENT

By signing below, you acknowledge that MBM may contact the provided applicant references above.