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LASSITER ELECTRIC INC. EMPLOYMENT APPLICATION

I. Personal Information

II. Employment

III. Skills

IV. Education

High School or Trade School

College or University

V. Employment History

Please account for all employment within the last seven (7) years, beginning with your current or

more recent employer.

  • Positions Held

VI. Personal References

Please list at least two (2) persons NOT related to you who have known you for at least five

(5) years.

APPLICANT'S STATEMENT

(Initial each numbered item as read)


1.  The information that I have provided on this application is accurate to the best of my

knowledge and may be verified by Lassiter Electric Inc. or its agents.


2.  I authorize all the schools, persons and organizations named in this application to

provide any relevant information in their possession or knowledge to the agents of Lassiter Electric Inc., for use in deciding whether or not to offer me employment and specifically waive any required written notification. I hereby release Lassiter Electric Inc., my former employers and all other persons from any and all claims, demands, or liabilities arising out of or in any way related to such inquiry or disclosure.


3.  I understand and agree that any misrepresentation or omission of facts in this application will be justification for refusal or termination of employment, regardless of the time elapsed before discovery.


4. I understand and agree that the employment for which I am applying for is at-will and such employment may be terminated at any time with or without cause, without prior notice, by either myself or Lassiter Electric Inc. There will be no agreement, express or

implied between Lassiter Electric Inc. and me for any specific period of employment, nor for

continuing or long-term employment, unless made in writing, signed by an authorized

representative of Lassiter Electric Inc.


5.  I have placed my signature in the space provided below only after I have completed the entire application to the best of my ability and have carefully read the statements above.