FORMER EMPLOYERS (LIST BELOW LAST FOUR EMPLOYERS, STARTING WITH LAST ONE FIRST)
DATE MONTH/YEAR	NAME & ADDRESS OF EMPLOYER	SALARY	POSITION	REASON FOR LEAVING
FROM TO
FROM TO
FROM TO
FROM TO

EMPLOYMENT DESIRED
CONSTRUCTION
	GENERAL LABOR		CARPENTER		IRONWORKER
	FINISHER		OPERATOR		SUPERINTENDENT
DESCRIBE THE SKILLS THAT MAKE YOU QUALIFIED FOR THIS POSITION
MANUFACTURING
	GENERAL LABOR		WELDER		CNC OPERATOR
	MAINTENANCE		PRESS OPERATOR		SHIPPING/RECEIVING
	SHIFT LEADER		FIBERGLASS TECH.		CARPENTER
DESCRIBE THE SKILLS THAT MAKE YOU QUALIFIED FOR THIS POSITION
SALES
	INSIDE SALES		OUTSIDE SALES		MARKETING
DESCRIBE THE SKILLS THAT MAKE YOU QUALIFIED FOR THIS POSITION
OFFICE / ADMINISTRATIVE
	SECRETARY		ACCOUNTING		COLLECTIONS
	ESTIMATOR		PROJECT MANAGER		DRAFTING
DESCRIBE THE SKILLS THAT MAKE YOU QUALIFIED FOR THIS POSITION

AUTHORIZATION

     "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

     I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

     I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

     This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

     By submitting this application I hereby agree to this authorization and all of it's terms."