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(This information will not automatically disqualify you for employment, but may be considered in relation to the position for which you are applying.)

EDUCATION

(Note: Applicants may be required to provide proof of diploma, transcripts, licenses, certifications and registrations.)

Name of School

Name of School

Name of School

EMPLOYMENT RECORD

(Please list all employment for the past 10 years. Most recent experience should be listed first.)
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REFERENCES

(Please name two work, school or business references who are not personally related to you.)


Prospective employees will receive consideration without discrimination due to race, creed, color, gender, age, national origin, disability, veteran status or any other legally protected status. Equal Opportunity / Affirmative Action Employer

OWNER REVOLUTION INC. IS A DRUG-FREE WORKPLACE

I affirm that the above information is correct. I understand that any falsified statements or omissions of facts on this application shall be sufficient cause for dismissal if I am employed. I understand that I am required to abide by all rules and regulations set forth by Owner Revolution Inc. I further understand that employment with Owner Revolution Inc. and wholly owned subsidiaries and affiliates is contingent upon successfully passing a pre-employment drug screen.

I understand that nothing contained in this application is intended to create an employment contract between Owner Revolution Inc. and me. In addition, I understand and agree that, if I am employed, my employment will be “at will”, terminable by me or the company for any reason, at any time, with or without notice. No promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and the President of the company.

In order to assist Owner Revolution Inc. in conducting a background check, I authorize the company to investigate my employment history, educational background, criminal history, personal references, credit record, and driving record. I further authorize any present or former employer, educational institution, personal references, public agency, or other person or entities contacted by the company to disclose to the company upon request any information they may have about me. I release any such persons or entities from any and all liabilities for disclosing such information to the company.

I have read and fully understand the foregoing and seek employment under these conditions.