(Please start with your most recent position.)

Please give the names of three additional work-related references that we may call. Please do not list relatives. Individuals with no prior work experience may list school or volunteer related references.

By signing this application, I give Abe’s Place the right to contact and obtain information from all references, employers, schools, and to verify the accuracy of the information contained in this application I hereby authorize Abe’s Place to conduct any investigation necessary concerning any part of my background related to the position I am seeking. I release all parties from any liability in connection with the provision and use of such information. I understand that if I am hired, that I am free to resign at any time, with or without cause and without prior notice. Abe’s Place reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. I also understand that neither this application nor any communication by a management representative is intended to create or does in fact create a contract of employment. I agree to conform to the rules and regulations of the company, and I understand that the company has complete discretion to modify such rules and regulations at any time, except that it will not modify its policy of employment at will. I certify the above information is complete and accurate to the best of my knowledge. I understand that misrepresentation or omission on my part of the facts in this application may result in immediate dismissal. This application is current for only 30 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application. I understand that incomplete or unsigned applications will not be considered and that any offer of employment is contingent upon proving my identity and documenting my right to work.