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 converning my previous employment and any pertinent information they may have, personal or otherwise, and please saint nicholas schools("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 time or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

APPLICATION FOR EMPLOYMENT

Date:

Personal Information

Desired Employment

Education

School Level

Grammar School

High School

College

Trade, Business or Correspondence School

Former Employers

Former employers

Military Service Record

Misdemeanors / Felonies