All applicants for employment are required to complete and submit this Employment
Mobile Accord, Inc. does not discriminate on the basis of sex, age, color, race,
religion, marital status, national origin, ancestry, sexual orientation, physical
& mental disability, medical condition, genetic information, veteran status,
or any other basis protected by federal, state or local law.
During the last seven years, have you ever been convicted of a
crime other than minor traffic offense?
(A conviction will not necessarily automatically disqualify you for employment.
Rather, such factors as age and date of conviction, seriousness and nature of the
crime, and rehabilitation will be considered).
Have you ever been terminated from employment or asked to resign by an employer?
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Any Professional Designations, Training, Patents, Publications, Computer Skills
Related to the job Sought:
List two people (other than relatives) who are in a position to evaluate your previous
employment performance, preferably former supervisors or people with whom you have
worked. (If applying for a supervisory position, please include one subordinate).
Your agree that we can contact each reference below:
Certification And Release
I authorize Mobile Accord, Inc. to verify, in any manner, all statements made by
me. Mobile Accord, Inc. may, for example, interview former employers, co-workers,
schools, references, or others and request information and supporting documentation
such as transcripts and evaluations.
I authorize any and all former employers, references, or educational institutions
to release all information relevant to my employment or education to Mobile Accord,
Inc., without giving me prior notice.
I release from any liability or responsibility all persons, companies and corporations
supplying any information in verifying my statements above, as well as Mobile Accord, Inc. in connection with its obtaining such information for use in verifying
my statements above.
If employed by Mobile Accord, Inc. , I agree to comply with Mobile Accord, Inc.
’s policies and procedures, safety rules, and cooperate in any reasonable security
investigation. I understand that I am not employed by or entitled to employment
by Mobile Accord, Inc. unless and until I have received and accepted a written
offer of employment from a Mobile Accord, Inc. representative. I also understand
that no other act of Mobile Accord, Inc. , including the acceptance of my application
for employment, the scheduling of interviews with me, or any oral or written statements
of interest or encouragement, creates an employment relationship with me, and I
will not rely on any such act.
I understand that any misrepresentation or omission of fact on this application,
my resume, any supplementary materials submitted by me, and interview responses,
may be cause for a refusal to hire me or the termination of employment at any time
during the period of my employment.
I have reviewed this application personally, and I agree that all statements I have
made on this application, in my resume, and other supplementary materials submitted
by me are true and correct. I have not knowingly withheld any information that might
adversely affect my chance for employment
By clicking Apply you agree to the terms outlined in the Certification And Release
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