McGuire Memorial Employment Application

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TO APPLICANT: We appreciate your interest in our organization. Thank you for taking the time to complete this application. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits other types of discrimination such as age, citizenship, disability, veteran status, attainment of benefits, and participation in union activities. The laws of most states and many localities also prohibit some or all of the above types of discrimination as well as some additional types including, but not limited to, discrimination based upon ancestry, marital status, parental status, sexual orientation, or source of income. The Fair Credit Reporting Act imposes restrictions with respect to information obtained from a consumer reporting agency, including but not limited to information regarding credit data, personal character, general reputation and mode of living. This list, however, is not exhaustive of the grounds on which discrimination is prohibited.

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Employment History  List present and past employment, beginning with most recent.:

Employment History 

Employment History 

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High School



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PERSONAL REFERENCES (Not Former Employers or Relatives) 

PERSONAL REFERENCES (Not Former Employers or Relatives) 

PERSONAL REFERENCES (Not Former Employers or Relatives) 

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PLEASE READ AND SIGN BELOW The facts set forth in my application for employment are true and complete. I understand that, if I am employed, any false or misleading statement on this application may result in my dismissal. I further understand that this application is not and is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. I understand and agree that my employment is at-will and can be terminated by either party, with or without notice, at any time, for any reason or no reason. No one other than an officer of McGuire Memorial has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the forgoing, and then only in a writing signed by an officer.