employment application

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Information about you: 
First Name: Last Name:
Birth Date:   mm/dd/yyyy SSN:   no dashes
Please provide your current address:
Address: City:
Zip: How Long?  
Phone #:    (i.e. xxxxxxxxxx)     Cell #:         (i.e. xxxxxxxxxx)

References: 
References (Please list 3 persons who are not relatives):
Full Name: Phone:
Address: City:
Zip: Relation:
 
Full Name: Phone:
Address: City:
Zip: Relation:
 
Full Name: Phone:
Address: City:
Zip: Relation:

Employment History: 
Most recent employer:
Employer: Phone:
Address: City:    Zip:  
Occupation:         Employed From:     To: 

Why did you leave?       May we contact?:   

 
Previous employer:
Employer: Phone:
Address: City:    Zip:  
Occupation:        Employed From:     To: 
Why did you leave?       May we contact?:   

Education: 
High School or College:
Name:
Address: City:
Zip: Graduated:   mm/dd/yyyy
GPA:

Driving Record: 
It's a requiremnt for employment with Lightning, that you have a valid Driver's License, and that you are insurable.
DL Number: State Issued:
Any suspensions, accidents or citations in the past 3 years?  

Drug Testing / Criminal Background: 
It's a requiremnt for employment with Lightning, that you have a doctor's physical, and remain drug free.
Have you had a recent physical exam (within the past 6 months)?  
Are you drug free? Are you willing to take a drug test?  
Have you ever been convicted of a crime?  

Important notes: 
Lightning Rent-to-Own is an Equal Opportunity Employer.
I acknowledge that the completion of this application does not constitute an employment contract with MLightning Rent-to-Own.
I understand that Lightning Rent-to-Own is an "at will" employer. This means that just as an employee can terminate their employment at any time, Lightning Rent-to-Own retains the right to terminate employees at any time, with or without cause.

Under penalty of the law, I certify that everything listed herein is true, correct, and complete. I understand that Lightning retains the right to verify criminal history, credit history, and obtain random drug testing results both prior to, and during my employment (at the sole discretion of Lightning RTO) and that this information may be used to help determine my status as an employee of the company.

In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.

Please, Type "Agree" in the box       and click Next Step button below