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Application for Employment


Full-timePart-time


DaysNightsGraveyardAny

Personal Information


YesNo


YesNo


YesNo


YesNo


YesNo


YesNo


General Information


YesNo


Education


YesNo


YesNo


YesNo


YesNo


Employment History

Current/Last Employer


Previous Employer


Skills


References

List three professional references. Please refrain from using immediate family members.

First Reference


Second Reference


Third Reference


Declaration

I understand and agree that:

  1. All information provided in this application for employment is complete, true and correct to the best of my knowledge. Any misrepresentation or omission of facts in my application or any attachments to my application may be justification for refusal of employment or if employed, termination from employment.
  2. It is my understanding that Acoma Business Enterprises ("ABE") will complete a thorough investigation of my work history, criminal background, driving record, academic records and/or credit history, and may verify that all data given in my application, related papers or oral interviews. I authorize such investigation and the giving and receiving of any information requested by the company, and I release from liability any person giving or receiving any such information.
  3. I agree that ABE may check any and all of the facts I have listed in my application for employment, including my references and my criminal record.
  4. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering, and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that this application remains current for 3 months. At the conclusion of that time, if I have not heard form the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application.
  5. If I am a registered Sex Offender in any state, District of Columbia, federal territories, or any Indian Tribe, I agree to register with the Pueblo of Acoma police department.

I certify that I have read, fully understand, and declare under penalty of perjury that the foregoing is true and correct.



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