Trade, Business or Correspondence School
Employment History (Most Recent Employment on top)
Personal References (Names of three non-relative people known longer than 2 years)
Availability for Employment
Able To Work With
“I certify that the facts contained in this application are true and complete to the best of my knowledge and
understanding that, if employed, falsified statements on this application shall be put undergrounds of dismissal.
I authorize the investigation of all statements contained herein and the references and employers listed above to give A
Special Angel’s Touch Inc. all information concerning my previous employment and any pertinent information they may
have, personal or otherwise, and release the company from all liability for any damage that may result in utilization of
I also understand and agree that no representative of the company has any authority to enter into any agreement for
employment for any specified period, or to make any agreement contrary to the foregoing, unless it is in writing and
signed by an authorized company representative.
The waiver does not permit the release or use of disability-related or medical information in a manner prohibited by
the Americans with Disabilities Act (ADA) and other relevant federal and state laws.”