FORMER EMPLOYERS (List below last three employers, starting with last one first.)
REFERENCES (Give the names of three people you've known for at least one year that are not related to you.)
The following statement applies in: Maryland and Massachusetts. It is unlawful in the State of Maryland to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liabilities.
In case of emergency, notify:
"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 listed above to give you any and all information concerning my previous employment and any pertinent information they may have, and release all parties from all liabilities for any damage that may result from furnishing same to you.
I understand and agree that if hired, my employment is for no definite period and may, regardless of the date or payment of my wages and salary, be terminated at any time without prior notice and without cause."
**By typing your name below, you are signing this employment application electronically. You agree your electronic signature (hereafter referred to as "E-Signature") is the legal equivalent of your manual signature on this application. You further agree that your use of a keypad, mouse, or other device constitutes your signature, acceptance and agreement as if actually signed by you in writing. You also agree that no certification authority or other third party certification is necessary to validate your E-Signature and that the lack of such certification or third party verification will not in any way affect the enforceability of your E-Signature or any resulting contract between you and Quality Elevator Company, Inc. You also represent that you are authorized to enter into this agreement and be bound by the above terms and conditions as they exist on the date of your E-Signature. **