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Personal Information
Current Address
Previous Address
Military Experience
The existence of a conviction record(s) does not constitute an automatic bar to employment. Your conviction record(s) will be considered only as it may substantially relate to the job for which you are applying.
(if yes, please explain in the comment section. Conviction of a crime may not automatically prohibit your employment.)
Previous Speedee Mart Employment
Previous Employer 1
Previous Employer 2
Previous Employer 3
Previous Employer 4
Personal only please. Do not list relatives.
References 2
References 3
Additional Information
Authorization - Read Carefully
I certify that all of the information provided on this application is true to the best of my knowledge. I understand that Speedee Mart will look to verify the information I have provided in this application for employment and that Speedee Mart,. may conduct an investigation regarding my background. I authorize all persons, schools, companies and law enforcement agencies to release any information concerning my background to Speedee Mart I understand that employment at Speedee Mart. is "at will", which means that either the Company or I can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I understand that no supervisor, manager or executive of the Company, other than the president has any authority to alter the foregoing. I understand that this application is kept on file for one year. Security and privacy are our top priorities and we are doing our best to preserve your privacy and to make sure your data is available only to the intended parties. No others shall be granted access to your data unless required by law. Data is collected and used for the sole purpose of facilitating the application/hiring process. In no event shall the developers or the sponsors or the service providers be liable for any damages this database might cause. Users (including applicants, referees, employers and others) are solely responsible for the appropriateness, completeness, correctness and lawfulness of their data. This service is provided without any warranty (either expressed or implied, including, but not limited to, the implied warranties of merchantability and fitness for a particular purpose).