APPLICATION FOR EMPLOYMENT

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  • LicenseStateNumberDate IssuedExpiration Date 
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  • LicenseStateNumberDate IssuedExpiration Date 
  • CRIMINAL RECORD

    All employees are required to complete a criminal background check as condition of continued employment.
  • EMPLOYMENT HISTORY

    List your employment history beginning with your most recent job.
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  • I understand that any false statements or material omissions made as a part of the application will disqualify me from further consideration for employment, and if discovered later will be grounds for discharge. I also understand that any offer of employment is contingent upon the result of a pre- employment medical examination, drug screen, criminal background check, and reference check. I authorize my former employers to release all information concerning my employment, and I further authorize the release of any such information during or after my employment without prior notification. I consent to any and all medical examinations and drug screening and background checks by PRN Staffing. I understand that all results of such examination / screens/ checks are the property of PRN staffing and they remain confidential. I understand that if I and employed by PRN Staffing, my employment is “at will” and may be terminated by me or by PRN Staffing at any time with or without cause, for any reason.
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