Application For Employment Page 2

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EMPLOYMENT HISTORY:
Present Or Last Position:
Employer: _____________________________________________________
Phone: _______________________________
From: ______________ To: ______________
Previous Employer:
Company: _____________________________________________________
Phone: _______________________________ Dates Worked___________________
May We Contact Your Present OR Previous Employer? Yes _____ No _____
References:
Name/Title Address Phone
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
I certify that information contained in this application is true and complete. I understand that
false information may be grounds for not hiring me or for immediate termination of employment
at any point in the future if I am hired. I authorize the verification of any or all information listed
above.
Signature________________________________________________
Date__________________________________
Kissel Entertainment, LLC. is an equal opportunity employer. We adhere to a policy of making
employment decisions without regard to race, color, religion, se, sexual orientation, national
origin, citizenship, age, or disability. We assure you that your opportunity for employment with
Kissel Entertainment, LLC. depends solely on your qualifications.
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