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I <br /> I <br /> I <br /> <br />I' <br />I- <br /> <br /> O <br />O~caslonally the tormoI an application blank makes it difficult/or an individual to adequately summarize his com. pl~ete bacli. <br />ground. To assist us in finding the proper position tot you in our company, use the space below to summarize any additional <br /> <br />inlormatlon necessary to describe .your tull qualifications. <br /> <br />'Thank you for completing this'application form and for your intereSt in employment With us. We Would like 'to assure' you <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 comi~lete 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.* ~x <br /> <br />* NOTE: The Provisions of the Fair credit Reporting Act may be applicable if a credit report on the applicant is obtained and considered. <br /> <br />INTERVIEW [] YES <br />Result of Interview <br /> <br /> -~' ...... DO NOT <br /> <br />[] NO Date <br /> <br />WRITE--BELOW~ ~T~HtS.-LINE <br /> <br /> Hour <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 /> I <br />This Application For Employment Fo~m is sold for general use throughout the United States. Amstei'dam Printing and Litho Corp. assumes no responsibility <br />for the inclusion in mid form o! any questions which, when asked by the Employer of the Job Applicant, may violate State and/or Federal Law. · · <br /> <br /> <br />