Employment Application Form

Judy Construction Company

P.o. Box 457

Cynthiana, Ky 41031

Application For Employment

(Pre Employment Questionnarie) (An Equal Opportunity Employer)

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List below last three employers, starting with last one first

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"I certify that all information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. All applicants are screened through homeland security. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other that it's president, and then only when in writing and signed by the president,has any authority to enter into any agreement for employment for any specific peri

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This form has been designed to strictly comply with state and federal fair employment practice laws prohibiting employment discrimination.This application for employment form is sold for general use throughout the united states. Tops assumes no responsibility for the inclusion in said form of any questions which, when asked by the employer of the job applicant, may violate state and/or federal law.

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