Employment Application

Type of employment desired:
Do you have any relatives employed by this facility?
During the last 7 years, have you ever been convicted of a felony?
A "yes" answer will not automatically disqualify you from employment. Rather, such factors as age and date of conviction, seriousness and anture of the crime as it relates to specific occupational categories and rehabilitation will be considered. 
Last Year Completed
Last Year Completed
Last Year Completed3
Summarize any training, skills, and areas of specialization or major interest that may qualify you as being able to perform job-related functions in the position for which you are applying. Include any health care, business, or industrial equipment operated. 
Summarize any job-related training you received in the United States Military
If licensed, registered or certified, list:
Type, State Issued, Date Issued, Number.
Applicant Statement
I certify that all information I have provided in order to apply for and secure work with Vue CCU is true, complete and correct. If any information provided by me is found to be false, incomplete or misrepresented in any respect, it will be sufficient cause to cancel further consideration of this application, or immediately discharge me from Vue CCU service, whenever it is discovered.

I expressly authorize Vue CCU and its agents, without reservation, to contact and obtain information from all references, employers, public agencies, licensing authorities, and educational institutions and to otherwise verify the accuracy of all information regarding me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding Vue CCU or its agents for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that Vue CCU does not unlawfully discriminate in employment, and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law.

I understand that completion of this Application for Employment does not guarantee that Vue CCU has employed me. I certify that I have read, fully understand and accept all terms of the foregoing Application Statement.
Sign above