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EMPLOYMENT HISTORY

Do not use "see resume" in lieu of completing application form. Please complete all sections thoroughly. Start with most recent or present employer. Include part-time and self-employment. Explain periods of non-employment below.

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EDUCATION

Highschool

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Business/Technical

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College/University

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Graduate/Professional

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If you are applying for a position where driving is a requirement of the job, please answer the following questions:

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Within the past three years:

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All persons should have equal employment opportunities with Stenstrom Companies regardless of race, color, creed, religion, national origin, ancestry, sex, marital status, sexual orientation, disability, age and any other legally protected class and within the framework of federal law regarding age discrimination, employment of the handicapped and Vietnam era veterans. Employment shall be based solely on the Company’s need and the individual’s qualifications.

I certify that I have completed this application and the statements that I have made in this application are true and complete. I authorize investigation of all statements contained in this application which Stenstrom Companies may deem relevant to my employment and authorize my previous employers or other persons having information concerning my records or me to report such information to Stenstrom Companies. I hereby release Stenstrom Companies, my former employer or other persons who may provide information from any liability as a result of providing such information.

I understand and agree that if it is subsequently discovered that the information is untrue or that I have failed to disclose a material fact, any offer of employment made to me by Stenstrom Companies may be immediately withdrawn or if I am already employed by Stenstrom Companies, I may be subject to disciplinary action, up to and including termination at the discretion of Stenstrom. In such an event, the withdrawal of any offer of employment made to me or the termination of employment shall be without any obligation or liability to me by Stenstrom Companies, other than for wages at the rate agreed upon for work I have actually performed for Stenstrom Companies.

In accordance with the Immigration and Control Act of 1986, Stenstrom Companies will only hire United States citizens and aliens lawfully authorized to work in the United States. I understand that I will be required to complete the designated employment eligibility verification I-9 Form as a condition of employment.

I understand that I am required to undergo drug testing and/or background check and that my employment is contingent upon these results. I understand that I am not obligated to disclose sealed or expunged records of conviction or arrest, nor may Stenstrom Companies ask me if I have had records sealed or expunged. See consent to request consumer report form for more details.

I understand and agree that if I am employed as a result of this application, my employment will be at-will, which I understand means that I will not be employed for any definite period of time and that my employment may be terminated at any time by myself or Stenstrom, with or without cause.

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