EuroTan USA

Application For Employment

Pre-Employment Questionnaire An Equal Opportunity Employer

Phone 360.604.0333

School Level Name & Location years attended Did you graduate? Subjects studied
High School        
Special Skills        
Military Service Record

Branch of Service_________________________________________________________________________________

Discharge Date _______________________________ Rank ______________________________________

Comments on Special Skills ________________________________________________________________


Have you been convicted of a felony within the last 5 years?

_____ Yes _____ No

If yes, Explain (will not necessarily exclude you from consideration)





“I certify that the information in this application is true and complete 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 and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have personal or otherwise and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for any specified period of time or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative”

“I understand that EuroTan USA maintains the right to request random drug testing”

Date ____________________________ Signature _______________________________________________

REVISED 08.27.2003

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