Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
We may contact the employers listed above unless you indicate those you do not want us to contact.
List at least three professional/work references who are not relatives:
Note: you are not required to disclose sealed or expunged records of conviction.
Please complete this section as it applies to the position for which you are applying.
Position that involves work with children:
Position in which driving is considered a primary aspect of the job description:
The answers given by me to all of the questions on this application are, to the best of my knowledge and belief, true and correct. I have not knowingly withheld any facts or circumstances that would adversely affect my position. I understand that any misrepresentation of facts may result in my discharge. I also understand that I will be required to successfully pass various background checks and/or medical examinations based on the requirements of the position for which I am applying. This agreement does not bind either party for any specific period regarding employment, and I recognize that employment at TCRC, Inc. is at will and can be terminated with or without cause by either the employee or TCRC unless there exists a specific written Agreement to the contrary.
I further agree to work a shift or shifts other than the one to which I will be assigned at the time of employment, if it becomes necessary for the efficiency of TCRC.
