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Employment Application

Critter Getters, Inc. is always looking for prospective qualified employees. Please complete our online employment aplication.

PRE-EMPLOYMENT QUESTIONNAIRE EQUAL OPPORTUNITY EMPLOYER
Personal Information 09/07/2010
Full Name
 Social Security Number
Present Address
 City
 State
 Zip Code
Permanent Address
 City
 State
 Zip Code
Phone No.
 Referred By

Employment Desired
Position
 Date You Can Start
 Salary Desired
Are You Employed?
Yes No 		If So, May We Inquire Of Your Present Employer?
Yes No
Applied To This Company Before?
Yes No 		When?
 Where?

Education History
Name & Location Of School Years
Attended		 Did You
Graduate?		 Subjects Studied
Grammar
School		 Yes No
High
School		 Yes No
College Yes No
Other
School		 Yes No

General Information
Subjects Of Special Study/Research/Work or Special Training/Skills
U.S. Military or Naval Service
 Rank

Former Employers (List Below Last Four Employers, Starting With Last One First)
Date
Month & Year		 Name & Address of Employer Salary Position Reason For Leaving




References Give Below The names Of Three Persons Not Related To You, Whom You have Know At Least One Year.
Name Address Business Years Known

Authorization
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."
Date
09/07/2010		 Electronic Signature

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