Baltimore9601 Pulaski Park DriveSuite 414Baltimore, Maryland 21220Phone: 410-686-8213Fax: 410-686-4809
Virginia2506 Colley AvenueNorfolk, Virgina23517-1130Phone: 757-622-3700Fax: 757-622-3775
Our company is an equal opportunity employer and will consider all applicants for all positionsequally without regard to their race, sex, age, color, religion, national origin, veteran status, orany disability as provided in the Americans with Disability Act.This application will be given every consideration, but its receipt does not imply that theapplicant will be employed. Each question should be answered in a complete and accuratemanner as no action can be taken on this application until all questions have been answered.
NOTE: A conviction will not necessarily disqualify you from employment.
List names of employers in consecutive order with your present or last employer listed first.Account for all periods of time including military service and any periods of unemployment. Ifself-employed, give firm name and supply business references. Please give month and year. Donot reference your resume.
Please give three references, not relatives or former employers.
UNDER MARYLAND LAW AN EMPLOYER MAY NOT REQUIRE OR DEMAND ANY APPLICANTFOR EMPLOYMENT OR PROSPECTIVE EMPLOYMENT OR ANY EMPLOYEE TO SUBMIT TO ORTAKE A POLYGRAPH LIE DETECTOR TEST OR OTHER EXAMINATION AS A CONDITION OFEMPLOYMENT OR CONTINUED EMPLOYMENT. ANY EMPLOYER WHO VOILATES THISPROVISION IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT TO EXCEED $100.
AFFIDAVITI certify that my answers to the foregoing questions are true and correct without anyconsequential omissions of any kind whatsoever. I understand that if I am employed, any false,misleading, or otherwise incorrect statements made on this application form or during anyinterviews may be grounds for my immediate discharge.I hereby authorize the Company to contact any company or individual it deemsappropriate to investigate my employment history, character and qualifications and I give myfull and complete consent to their revealing any and all information they wish as a result of thisinvestigation. In addition, I hereby waive my right to bring any cause of action against theseindividuals for defamation, invasion of privacy or any other reason because of their statements.I agree that if I am employed, I will abide by all the rules and regulations of theCompany. I understand that the taking of drug and alcohol tests when given pursuant toCompany policy, are a condition of continued employment and refusal to take such tests whenasked will be grounds for my immediate termination. I further understand that nobody in theCompany is authorized to enter into any written and verbal employment contracts with me forany definite period of time without the express written consent of the Board of Directors. I alsounderstand that my employment is “at-will” and may be terminated by myself or by theCompany at any time for any reason or no reason at all with or without prior notice.
