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    References

    Employment History

    Employer 1

    Dates Employed
    From
    To
    Employer Name & Address
    Business Name
    Business Address
    Employer Phone
    Job Title
    Supervisor Name & Title
    Name
    Title
    May we contact them?
    Responsibilities
    Reason For Leaving:
    Salary/Hourly Rate:
    Start
    End

    Employer 2

    Dates Employed
    From
    To
    Employer Name & Address
    Business Name
    Business Address
    Employer Phone
    Job Title
    Supervisor Name & Title
    Name
    Title
    May we contact them?
    Responsibilities
    Reason For Leaving:
    Salary/Hourly Rate:
    Start
    End

    The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

    I understand and agree to Silva Built Construction, Inc. proceeding with a criminal background investigation. I also understand that upon employment, I may be subject to random drug test.

    I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

    I understand that I am required to abide by all rules and regulations of the company.

    We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

    The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

    Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.

    Please be sure to complete all sections with a red asterisks or the application will not be submitted and/or accepted.
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