We do not discriminate on the basis of race, religion, national origin, color, sex, age, veteran status, or handicap. It is our intention that all qualified applicants be given equal opportunity and that selection decisions are based on job-related factors.
Please indicate whether you currently hold any of the following FINRA registrations and provide the date each examination was completed.
Please list your employment history in reverse chronological order, beginning with your current or most recent position. Account for all periods of employment, including military service and periods of unemployment. Include month and year for each entry. If self-employed, provide the business name and professional references.
Please provide at least three professional references who can speak to your qualifications, work performance, and character. References should not be family members.
In making this application for employment, it is understood that an investigation may be made whereby information is obtained through personal interviews with your neighbors, friends, and others with whom you are acquainted. This inquiry includes information as to your character, general reputation, personal characteristics, and mode of living. You have the right to make a written request within a reasonable period of time for complete and accurate disclosure of additional information concerning the nature and scope of this investigation.
I certify that the answers given by me to the foregoing questions and statements are true and correct, without consequential omissions of any kind whatsoever. I agree that the company shall not be liable in any respect if my employment is terminated because of falsity of statements, answers, or omissions made by me in this questionnaire. I also authorize the companies, schools, or persons named above to give any information regarding my employment, character, and qualifications. I hereby release said companies, schools, or persons from all liability for any damage for issuing this information.
I certify that all statements and answers to questions about my health are true and were made by me without any reservations. I expressly waive all provisions of law prohibiting any physician, person, hospital, or other institution that has or may hereafter attend or furnish me with treatment from disclosing to the company any knowledge or information thereby acquired.
I understand that any misleading or incorrect statements may render this application void and, if I were employed, would be cause for termination. I understand that there is no expressed or implied contract of employment; and that, if employed, I have been hired at the will of the employer and that my employment may be terminated at will, at any time, with or without cause, the employer’s only obligation being to pay salary or wages due and owing at the time of the termination.
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Finally, I understand that all company property must be returned, and my indebtedness to the company must be paid before my termination. I authorize the company to deduct from my final paycheck(s) all monies due and owing to the company.
