Application For Employment

Please list all schools you attended from High School to present. Include trade and technical schools and any courses which may be relevant to your application. If more space is needed, please attach additional information to this form.

LIST EMPLOYERS IN ORDER WITH PRESENT EMPLOYER FIRST. ACCOUNT FOR ALL PERIODS OF TIME. IF SELF EMPLOYED, GIVE FIRM NAME AND BUSINESS REFERENCES. WORK PERFORMED ON A VOLUNTEER BASIS MAY BE INCLUDED.

Provide names of three persons not related to you, whom you have know at least one year.

I certify that the information given above is true and complete and understand that misrepresentation and/or omission of requested information will result in the rejection of this application or my discharge if discovered after employment begins. I authorize the company to make inquiries regarding my history and character of prior employers, schools, government agencies or individuals and hereby release such entities and individuals from all liability in responding to inquiries in connection with my application and release the company from all liability with respect to such inquiries.

I understand that if employed, I will be an employee “at will” and may be terminated at any time, with or without cause, and with or without notice at the option of either the company or myself. If I am employed, I agree to abide by the companies policies, rules and procedures and any changes thereto. I further understand that no company representative other than the company’s C.E.O., and then only in writing and signed by the C.E.O., has authority to enter into any agreement for employment for any specific period of time or to make agreements contrary to the foregoing.

It is the policy of New England Quality Services, Inc. to offer equal employment opportunity to all qualified persons regardless of race, color, religion, national origin, military status, sexual orientation, disability, gender, or age (in accordance with the law) or any other legally protected status.