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I <br />I <br />I <br />I <br />I <br /> <br />! O O <br /> Occasionally the torm oI an application blank makes it di~icult lot an individual to adequately summarize his compl~£~' .~ack- <br />· ground. To assist us in finding the proper position /or you in our company, use the space below to summarize any additional <br />, in/ormatlon <br /> necessary to describe .your full qualifications. ~ 1 , la . ~ . <br /> <br />that your opportunity for employment with this company will be based only on your merit and on no other consideration. <br /> <br /> PLEASE READ CAREFULLY <br /> APPLICANT'S CERTIFICATION AND AGREEMENT <br /> <br />I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowl- <br />edge. I understand that if employed, falsified statements on this application shall be considered sufficient cause for dismissal <br />You are hereby authorized to make any investigation of my'personal history and financial and credit record .through any in- <br />vestigative or credit agencies or bureaus of your choice.* <br /> <br /> Signarur~ ol~ Applicant . , <br /> <br /> *NOTE: 'The Provisions of the Pair Credit Reporting Act may be applicable if a credit report on the applicant ia obtained and considered. <br /> <br />DO NOT WRITE BELOW THIS LINE <br /> <br />I INTERVIEW [] YES <br /> Result of Interview <br /> <br />[] NO Date Hour <br /> <br />1 <br /> <br />1 <br /> <br />Acceptable for Employment? <br /> <br />Occupation <br /> <br />Interviewed by <br /> <br />Starting Rate ' <br /> Dept. <br /> <br /> Employed by <br /> Approved by <br /> <br />Starting Date <br /> <br /> Shift <br />Clock No. <br /> <br />This Application For Employment Form is sold lot general use throught)ut the United States. Amstei'dam Printing and Litho Corp. aSsumes no responsibility <br />for the inclusion in said form of any questloms which, when asked by the Employer of the .lob Applicant, may violate State and/or Federal Law. <br /> <br /> <br />