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EMPLOYMENT APPLICATION

Seven Falls Company

PERSONAL DATA (Please print using black ink)

Last Name_____________________________ First Name_____________________________ Date___________

Street Address__________________________Apt#____________City___________State___

Zip Code_________

Phone (     )_________________

Have you ever worked under another name? ______________If Yes, list the name(s) ____________________________

Position Applied For____________________________________

Wages Expected_____________________________

Are you authorized to work in the United States? (    ) Yes (    ) No (Proof of authorization to work is required if
you are employed.)

Are you able to perform the functions of the job for which you are applying as described to you, with or without
any accommodation? (   )Yes (    ) No

EMPLOYMENT: INCLUDE MILITARY HISTORY- THIS SECTION MUST BE FULLY COMPLETED

List previous employers, starting with the most recent one first.

Employer From Supervisor(s) Name
Street Address To Reason for Leaving
City, State Monthly Salary
Phone Position
     
Employer From Supervisor(s) Name
Street Address To Reason for Leaving
City, State Monthly Salary
Phone Position
     
Employer From Supervisor(s) Name
Street Address To Reason for Leaving
City, State Monthly Salary
Phone Position

EDUCATION

Type of School

Name of School

Address

**From/To

Diploma/Degree

GPA

High School or Equivalent

               
   

College or University

               
   
   

Business or Technical

                    
   

REFERENCES

Name

 

Street Address Phone
Occupation

 

City, State Years Known
     
Name

 

Street Address Phone
Occupation

 

City, State Years Known
     
Name

 

Street Address Phone
Occupation

 

City, State Years Known

Use the following space for any additional information or remarks which you wish to submit.

 

 

 

Do Any of Your Relatives work for Seven Falls? If yes, list the name(s) below:

 

 

 

Review your answers carefully and read the statements below before signing.

APPLICANT STATEMENT

I certify that the information contained in this application is true and complete. I understand that any misstatement, omission, falsification, or misrepresentation of fact in this application may disqualify me from consideration for employment or, if I am hired, may result in disciplinary action up to and including discharge from employment.

I authorize Seven Falls, in order to evaluate me for employment purposes, to contact any or all of my previous employers, references, and educational institutions, and otherwise to investigate my suitability for employment, character, general reputation, personal characteristics, work habits, skills, and abilities. I understand that Seven Falls may conduct a criminal background check in connection with its consideration of me for employment. I understand that the results of any investigation of me may be disclosed to Seven Falls personnel involved in the employment decision, and I consent to such disclosure.

I acknowledge and agree that this employment application is not a contract or legal guarantee of regular employment. If hired by Seven Falls, I understand that any such employment is at will, is not for any specific term, and may and can be terminated at any time, with or without advance notice, and with or without cause, at the option of Seven Falls or myself. No employee of Seven Falls, has the authority to enter into any agreement for employment for a specified period of time, or to make any statement contrary to the provisions outlined above.

If hired, I agree to comply with all rules, regulations, and operating procedures established by Seven Falls.

I acknowledge receipt of my personal copy of this Applicant Statement and "Information to Applicants". I have read and fully understand the above statements and conditions of employment.

Signature of Applicant___________________________________ Date______________

INFORMATION TO APPLICANTS

Notice is hereby given that liability insurance provided by the State Compensation Law is carried.

Seven Falls Company is an equal opportunity employers that maintains a policy of nondiscrimination with respect to all employees and applicants for employment. All personnel actions such as recruitment, hiring, training, promotion, transfer, compensation and benefits, discipline, and termination are administered without regard to race, sex, color, religion, national origin, age, or disability of otherwise qualified individuals.

This application contains an authorization for Seven Falls to fully investigate your suitability for employment and personal history by obtaining information from your previous employers and/or other knowledgeable persons as to their firsthand experiences with you.

Please print and return your completed application to:

Seven Falls Company
2850 S. Cheyenne Canyon Road
Colorado Springs, Colorado 80
906

Or

FAX to (719) 632-0781

for more information, contact:
Seven Falls Company
2850 S. Cheyenne Canyon Road
Colorado Springs, Colorado 80906

Phn: (719)632-0752    Fax:(719)632-0781

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