1. Applicant Information
2. Emergency Contact
Who should be contacted if you are involved in an emergency?
17. Applicant Employment History
List your current or most recent employment first. Please list all jobs (including selfemployment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application.
18. Applicant's Education and Training
(Name of The Candidate), certify that the information provided
on this application is truthful and accurate. I understand that providing false or misleading
information will be the basis for rejection of my application, or if employment commences,
I authorize ALLIED DECCAN INC to contact former employers and educational
organizations regarding my employment and education. I authorize my former employers
and educational organizations to fully and freely communicate information regarding my
previous employment, attendance, and grades. I authorize those persons designated as
references to fully and freely communicate information regarding my previous employment
If an employment relationship is created, I understand that unless I am offered a specific
written contract of employment signed on behalf of the organization by its CEO, the
employment relationship will be "at-will." In other words, the relationship will be entirely
voluntary in nature, and either I or my employer will be able to terminate the employment
relationship at any time and without cause. With appropriate notice, I will have the full and
complete discretion to end the employment relationship when I choose and for reasons of
my choice. Similarly, my employer will have the right. Moreover, no agent, representative,
or employee of ALLIED DECCAN INC, except in a specific written contract of
employment signed on behalf of the organization by its CEO, has the power to alter or vary
the voluntary nature of the employment relationship.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND
AND AGREE TO ITS TERMS.
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