SlideShare a Scribd company logo
1 of 2
Employment Application– Hair Stylist
Name____________________________________________________________________________________
Phone: _________________________
Address:_________________________________________________________________________________
City: _______________________ State: ____________________________Zip: ______________________
Male/Female: __________________________
EmploymentHistory
Name of Current Employer___________________________________________
Address:
_______________________________________________________________________________________
City/State: ___________________Zip: _____________ From/To: _____________
Current Position: _____________________________________________________
Name of Supervisor: _______________________Phone____________________
Educationand Training
High School Attended: ___________________________
Diploma? Yes/No______________ Year Graduated: _____
College Attended: ____________________ Date(s) Attended: _____________
Degree: _____________________________ Major: __________________________
Cosmetology School Name: __________________________________________
Have you done hair for Weddings? If no, would you be willing to learn?
_______________________________________________________________________
Which specialty do you prefer and why? Color/Cut/Perm/
Other____________________________________________________
_______________________________________________________________________
List 5 things that matter to you the most at work:
1) _____________________________________________
2) _____________________________________________
3) _____________________________________________
4) _____________________________________________
5) _____________________________________________
Give the names of 3 references (name, phone, address)?
1) _____________________________________________
2) _____________________________________________
3) _____________________________________________
I hereby certify that the information contained In this application is true and correct to the best of my knowledge and agree to
have any statements verified by CONTRAST SALOON I authorize the references listed above, as well as all other individuals
whom the Company contacts, to provide the Company with all employment and job-related information they may have. Further, I
specifically indemnify and hold harmless the company and its Members, Officers, agents, employees and representatives and all
other parties and persons from any and all liability for any damages that may result from furnishing such information to the
Company as well as from the use or disclosure of such information by the Company or any of its Members, Officers, agents,
employees or representatives. I understand that any misrepresentation, falsification or material omission of information on t his
application may result in my disqualification from hiring or, if I am hired, dismissal from employment. If hired, I agree to conform
to the rules and standards of the Company as published and disseminated by the Company and as the Company, in its sole
discretion, may change from time to time. I further agree that my employment and compensation can be terminated at will, with
or without reason, and with or without notice, at any time, either at my option or at the option of the company. I understand that
no employee or representative of the Company, other than the president or his designated representative, has the authority to
enter into any agreement for employment for any specified period of time, or make any express or implied agreement for a
specified time unless the president and I both sign a written agreement that clearly and expressly specifies intent to do so. I
agree that this shall constitute a final and fully binding agreement with respect to the at-will nature of my employment and that
there are no oral or collateral agreements regarding this matter. I also understand that all offers of employment are conditioned
on the company's receipt of satisfactory responses to reference requests and the completion of any other background check the
Company may require, as well as satisfactory proof of my identity and legal authority to perform the duties I’m assigned by the
Company in accordance with all applicable federal, state and local governmental laws and regulations.
Signature ______________________________________ Date ________________________

More Related Content

What's hot

Sample employment contract
Sample employment contractSample employment contract
Sample employment contractJohn Vaughn, CMI
 
Probationary Employment Contract Sample
Probationary Employment Contract SampleProbationary Employment Contract Sample
Probationary Employment Contract SampleHarve Abella
 
Bond of an employee by any employer
Bond of an employee by any employerBond of an employee by any employer
Bond of an employee by any employerHiman1990007
 
CONSTRUCTIVE DISMISSAL- NOT A PIECE OF CAKE
CONSTRUCTIVE DISMISSAL- NOT A PIECE OF CAKECONSTRUCTIVE DISMISSAL- NOT A PIECE OF CAKE
CONSTRUCTIVE DISMISSAL- NOT A PIECE OF CAKEKhanyisile Khanyile
 
Sunil Khande_PE_Surat PC_22 August
Sunil Khande_PE_Surat PC_22 AugustSunil Khande_PE_Surat PC_22 August
Sunil Khande_PE_Surat PC_22 AugustSunil Khande
 
Home Care Application
Home Care ApplicationHome Care Application
Home Care ApplicationKelly Sisson
 
Experience letter
Experience letterExperience letter
Experience letterRamu Challa
 
Agent application
Agent applicationAgent application
Agent applicationsolarkit
 
C f orm covering letter
C f orm covering letterC f orm covering letter
C f orm covering letterSivani Prabhu
 
Four Part-time Positions Currently Open - Canton Justice Center - Canton, GA
Four Part-time Positions Currently Open - Canton Justice Center - Canton, GAFour Part-time Positions Currently Open - Canton Justice Center - Canton, GA
Four Part-time Positions Currently Open - Canton Justice Center - Canton, GAGeorgia Guard Family Program
 

What's hot (13)

Letter
LetterLetter
Letter
 
Sample employment contract
Sample employment contractSample employment contract
Sample employment contract
 
Probationary Employment Contract Sample
Probationary Employment Contract SampleProbationary Employment Contract Sample
Probationary Employment Contract Sample
 
Bond of an employee by any employer
Bond of an employee by any employerBond of an employee by any employer
Bond of an employee by any employer
 
CONSTRUCTIVE DISMISSAL- NOT A PIECE OF CAKE
CONSTRUCTIVE DISMISSAL- NOT A PIECE OF CAKECONSTRUCTIVE DISMISSAL- NOT A PIECE OF CAKE
CONSTRUCTIVE DISMISSAL- NOT A PIECE OF CAKE
 
Sunil Khande_PE_Surat PC_22 August
Sunil Khande_PE_Surat PC_22 AugustSunil Khande_PE_Surat PC_22 August
Sunil Khande_PE_Surat PC_22 August
 
Narendra
NarendraNarendra
Narendra
 
Home Care Application
Home Care ApplicationHome Care Application
Home Care Application
 
Experience letter
Experience letterExperience letter
Experience letter
 
Agent application
Agent applicationAgent application
Agent application
 
C f orm covering letter
C f orm covering letterC f orm covering letter
C f orm covering letter
 
Four Part-time Positions Currently Open - Canton Justice Center - Canton, GA
Four Part-time Positions Currently Open - Canton Justice Center - Canton, GAFour Part-time Positions Currently Open - Canton Justice Center - Canton, GA
Four Part-time Positions Currently Open - Canton Justice Center - Canton, GA
 
Notice[1]
Notice[1]Notice[1]
Notice[1]
 

Similar to Employment application

instructor-application-for-website-updated-july-2011
instructor-application-for-website-updated-july-2011instructor-application-for-website-updated-july-2011
instructor-application-for-website-updated-july-2011Dixie Breidenstein
 
Youth business loanapplication 2014 complete
Youth business loanapplication 2014 completeYouth business loanapplication 2014 complete
Youth business loanapplication 2014 completeKamran Aziz
 
Fillable PARXTC as Independent Contractor Agreement TEMPLATE v20220525
Fillable PARXTC as Independent Contractor Agreement TEMPLATE v20220525Fillable PARXTC as Independent Contractor Agreement TEMPLATE v20220525
Fillable PARXTC as Independent Contractor Agreement TEMPLATE v20220525Andrew Networks
 
Candidate Application and Background check sheet
Candidate Application and Background check sheetCandidate Application and Background check sheet
Candidate Application and Background check sheetAllen Shaw
 
Application For Employment - Fence Factory
Application For Employment - Fence FactoryApplication For Employment - Fence Factory
Application For Employment - Fence FactoryHannah Mayer
 
RG Luxury Homes,Noida extention
RG Luxury Homes,Noida extentionRG Luxury Homes,Noida extention
RG Luxury Homes,Noida extentionGrand Pacific
 
USO Ft. Bragg Volunteer Application
USO Ft. Bragg Volunteer ApplicationUSO Ft. Bragg Volunteer Application
USO Ft. Bragg Volunteer Applicationusoftbragg
 
Mobility Bathworks Distributor / Installer application
Mobility Bathworks Distributor / Installer applicationMobility Bathworks Distributor / Installer application
Mobility Bathworks Distributor / Installer applicationmobilitybathworks
 
Application for tenancy july 2008
Application for tenancy july 2008Application for tenancy july 2008
Application for tenancy july 2008Modupe Sarratt
 
Cf consent and release 10 11
Cf consent and release 10 11Cf consent and release 10 11
Cf consent and release 10 11meghanoakley
 
Boiler Plate Letter of Agreement
Boiler Plate Letter of AgreementBoiler Plate Letter of Agreement
Boiler Plate Letter of AgreementCameron Ungar
 
1 Ohio Forms Package
1 Ohio Forms Package1 Ohio Forms Package
1 Ohio Forms Packagemakebond
 
Application for employment
Application for employmentApplication for employment
Application for employmentHighboost Corp
 

Similar to Employment application (20)

instructor-application-for-website-updated-july-2011
instructor-application-for-website-updated-july-2011instructor-application-for-website-updated-july-2011
instructor-application-for-website-updated-july-2011
 
Jagan Nath University Application Form
Jagan Nath University Application FormJagan Nath University Application Form
Jagan Nath University Application Form
 
Youth business loanapplication 2014 complete
Youth business loanapplication 2014 completeYouth business loanapplication 2014 complete
Youth business loanapplication 2014 complete
 
Fillable PARXTC as Independent Contractor Agreement TEMPLATE v20220525
Fillable PARXTC as Independent Contractor Agreement TEMPLATE v20220525Fillable PARXTC as Independent Contractor Agreement TEMPLATE v20220525
Fillable PARXTC as Independent Contractor Agreement TEMPLATE v20220525
 
Candidate Application and Background check sheet
Candidate Application and Background check sheetCandidate Application and Background check sheet
Candidate Application and Background check sheet
 
Application For Employment - Fence Factory
Application For Employment - Fence FactoryApplication For Employment - Fence Factory
Application For Employment - Fence Factory
 
RG Luxury Homes,Noida extention
RG Luxury Homes,Noida extentionRG Luxury Homes,Noida extention
RG Luxury Homes,Noida extention
 
Form
FormForm
Form
 
USO Ft. Bragg Volunteer Application
USO Ft. Bragg Volunteer ApplicationUSO Ft. Bragg Volunteer Application
USO Ft. Bragg Volunteer Application
 
Mobility Bathworks Distributor / Installer application
Mobility Bathworks Distributor / Installer applicationMobility Bathworks Distributor / Installer application
Mobility Bathworks Distributor / Installer application
 
Application for tenancy july 2008
Application for tenancy july 2008Application for tenancy july 2008
Application for tenancy july 2008
 
Seminar Registration Form
Seminar Registration FormSeminar Registration Form
Seminar Registration Form
 
Employment application
Employment applicationEmployment application
Employment application
 
Cf consent and release 10 11
Cf consent and release 10 11Cf consent and release 10 11
Cf consent and release 10 11
 
Boiler Plate Letter of Agreement
Boiler Plate Letter of AgreementBoiler Plate Letter of Agreement
Boiler Plate Letter of Agreement
 
Patient Information
Patient InformationPatient Information
Patient Information
 
Villa application
Villa applicationVilla application
Villa application
 
1 Ohio Forms Package
1 Ohio Forms Package1 Ohio Forms Package
1 Ohio Forms Package
 
Companyacceptance2013
Companyacceptance2013Companyacceptance2013
Companyacceptance2013
 
Application for employment
Application for employmentApplication for employment
Application for employment
 

Recently uploaded

如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书
如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书
如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书FS LS
 
CALL ON ➥8923113531 🔝Call Girls Singar Nagar Lucknow best sexual service
CALL ON ➥8923113531 🔝Call Girls Singar Nagar Lucknow best sexual serviceCALL ON ➥8923113531 🔝Call Girls Singar Nagar Lucknow best sexual service
CALL ON ➥8923113531 🔝Call Girls Singar Nagar Lucknow best sexual serviceanilsa9823
 
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书如何办理(Lincoln文凭证书)林肯大学毕业证学位证书
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书Fs Las
 
INVOLUNTARY TRANSFERS Kenya school of law.pptx
INVOLUNTARY TRANSFERS Kenya school of law.pptxINVOLUNTARY TRANSFERS Kenya school of law.pptx
INVOLUNTARY TRANSFERS Kenya school of law.pptxnyabatejosphat1
 
Introduction to Corruption, definition, types, impact and conclusion
Introduction to Corruption, definition, types, impact and conclusionIntroduction to Corruption, definition, types, impact and conclusion
Introduction to Corruption, definition, types, impact and conclusionAnuragMishra811030
 
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书Fs Las
 
一比一原版牛津布鲁克斯大学毕业证学位证书
一比一原版牛津布鲁克斯大学毕业证学位证书一比一原版牛津布鲁克斯大学毕业证学位证书
一比一原版牛津布鲁克斯大学毕业证学位证书E LSS
 
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书Fir L
 
如何办理美国波士顿大学(BU)毕业证学位证书
如何办理美国波士顿大学(BU)毕业证学位证书如何办理美国波士顿大学(BU)毕业证学位证书
如何办理美国波士顿大学(BU)毕业证学位证书Fir L
 
Legal Risks and Compliance Considerations for Cryptocurrency Exchanges in India
Legal Risks and Compliance Considerations for Cryptocurrency Exchanges in IndiaLegal Risks and Compliance Considerations for Cryptocurrency Exchanges in India
Legal Risks and Compliance Considerations for Cryptocurrency Exchanges in IndiaFinlaw Consultancy Pvt Ltd
 
Indemnity Guarantee Section 124 125 and 126
Indemnity Guarantee Section 124 125 and 126Indemnity Guarantee Section 124 125 and 126
Indemnity Guarantee Section 124 125 and 126Oishi8
 
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书Fir L
 
如何办理(MSU文凭证书)密歇根州立大学毕业证学位证书
 如何办理(MSU文凭证书)密歇根州立大学毕业证学位证书 如何办理(MSU文凭证书)密歇根州立大学毕业证学位证书
如何办理(MSU文凭证书)密歇根州立大学毕业证学位证书Sir Lt
 
一比一原版旧金山州立大学毕业证学位证书
 一比一原版旧金山州立大学毕业证学位证书 一比一原版旧金山州立大学毕业证学位证书
一比一原版旧金山州立大学毕业证学位证书SS A
 
Andrea Hill Featured in Canadian Lawyer as SkyLaw Recognized as a Top Boutique
Andrea Hill Featured in Canadian Lawyer as SkyLaw Recognized as a Top BoutiqueAndrea Hill Featured in Canadian Lawyer as SkyLaw Recognized as a Top Boutique
Andrea Hill Featured in Canadian Lawyer as SkyLaw Recognized as a Top BoutiqueSkyLaw Professional Corporation
 

Recently uploaded (20)

Rohini Sector 25 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
Rohini Sector 25 Call Girls Delhi 9999965857 @Sabina Saikh No AdvanceRohini Sector 25 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
Rohini Sector 25 Call Girls Delhi 9999965857 @Sabina Saikh No Advance
 
如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书
如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书
如何办理伦敦南岸大学毕业证(本硕)LSBU学位证书
 
CALL ON ➥8923113531 🔝Call Girls Singar Nagar Lucknow best sexual service
CALL ON ➥8923113531 🔝Call Girls Singar Nagar Lucknow best sexual serviceCALL ON ➥8923113531 🔝Call Girls Singar Nagar Lucknow best sexual service
CALL ON ➥8923113531 🔝Call Girls Singar Nagar Lucknow best sexual service
 
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书如何办理(Lincoln文凭证书)林肯大学毕业证学位证书
如何办理(Lincoln文凭证书)林肯大学毕业证学位证书
 
Russian Call Girls Rohini Sector 6 💓 Delhi 9999965857 @Sabina Modi VVIP MODEL...
Russian Call Girls Rohini Sector 6 💓 Delhi 9999965857 @Sabina Modi VVIP MODEL...Russian Call Girls Rohini Sector 6 💓 Delhi 9999965857 @Sabina Modi VVIP MODEL...
Russian Call Girls Rohini Sector 6 💓 Delhi 9999965857 @Sabina Modi VVIP MODEL...
 
INVOLUNTARY TRANSFERS Kenya school of law.pptx
INVOLUNTARY TRANSFERS Kenya school of law.pptxINVOLUNTARY TRANSFERS Kenya school of law.pptx
INVOLUNTARY TRANSFERS Kenya school of law.pptx
 
Introduction to Corruption, definition, types, impact and conclusion
Introduction to Corruption, definition, types, impact and conclusionIntroduction to Corruption, definition, types, impact and conclusion
Introduction to Corruption, definition, types, impact and conclusion
 
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书
如何办理(SFSta文凭证书)美国旧金山州立大学毕业证学位证书
 
一比一原版牛津布鲁克斯大学毕业证学位证书
一比一原版牛津布鲁克斯大学毕业证学位证书一比一原版牛津布鲁克斯大学毕业证学位证书
一比一原版牛津布鲁克斯大学毕业证学位证书
 
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书
如何办理美国加州大学欧文分校毕业证(本硕)UCI学位证书
 
如何办理美国波士顿大学(BU)毕业证学位证书
如何办理美国波士顿大学(BU)毕业证学位证书如何办理美国波士顿大学(BU)毕业证学位证书
如何办理美国波士顿大学(BU)毕业证学位证书
 
Vip Call Girls Greater Noida ➡️ Delhi ➡️ 9999965857 No Advance 24HRS Live
Vip Call Girls Greater Noida ➡️ Delhi ➡️ 9999965857 No Advance 24HRS LiveVip Call Girls Greater Noida ➡️ Delhi ➡️ 9999965857 No Advance 24HRS Live
Vip Call Girls Greater Noida ➡️ Delhi ➡️ 9999965857 No Advance 24HRS Live
 
Sensual Moments: +91 9999965857 Independent Call Girls Vasundhara Delhi {{ Mo...
Sensual Moments: +91 9999965857 Independent Call Girls Vasundhara Delhi {{ Mo...Sensual Moments: +91 9999965857 Independent Call Girls Vasundhara Delhi {{ Mo...
Sensual Moments: +91 9999965857 Independent Call Girls Vasundhara Delhi {{ Mo...
 
Legal Risks and Compliance Considerations for Cryptocurrency Exchanges in India
Legal Risks and Compliance Considerations for Cryptocurrency Exchanges in IndiaLegal Risks and Compliance Considerations for Cryptocurrency Exchanges in India
Legal Risks and Compliance Considerations for Cryptocurrency Exchanges in India
 
Indemnity Guarantee Section 124 125 and 126
Indemnity Guarantee Section 124 125 and 126Indemnity Guarantee Section 124 125 and 126
Indemnity Guarantee Section 124 125 and 126
 
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书
如何办理新西兰奥克兰商学院毕业证(本硕)AIS学位证书
 
Russian Call Girls Service Gomti Nagar \ 9548273370 Indian Call Girls Service...
Russian Call Girls Service Gomti Nagar \ 9548273370 Indian Call Girls Service...Russian Call Girls Service Gomti Nagar \ 9548273370 Indian Call Girls Service...
Russian Call Girls Service Gomti Nagar \ 9548273370 Indian Call Girls Service...
 
如何办理(MSU文凭证书)密歇根州立大学毕业证学位证书
 如何办理(MSU文凭证书)密歇根州立大学毕业证学位证书 如何办理(MSU文凭证书)密歇根州立大学毕业证学位证书
如何办理(MSU文凭证书)密歇根州立大学毕业证学位证书
 
一比一原版旧金山州立大学毕业证学位证书
 一比一原版旧金山州立大学毕业证学位证书 一比一原版旧金山州立大学毕业证学位证书
一比一原版旧金山州立大学毕业证学位证书
 
Andrea Hill Featured in Canadian Lawyer as SkyLaw Recognized as a Top Boutique
Andrea Hill Featured in Canadian Lawyer as SkyLaw Recognized as a Top BoutiqueAndrea Hill Featured in Canadian Lawyer as SkyLaw Recognized as a Top Boutique
Andrea Hill Featured in Canadian Lawyer as SkyLaw Recognized as a Top Boutique
 

Employment application

  • 1. Employment Application– Hair Stylist Name____________________________________________________________________________________ Phone: _________________________ Address:_________________________________________________________________________________ City: _______________________ State: ____________________________Zip: ______________________ Male/Female: __________________________ EmploymentHistory Name of Current Employer___________________________________________ Address: _______________________________________________________________________________________ City/State: ___________________Zip: _____________ From/To: _____________ Current Position: _____________________________________________________ Name of Supervisor: _______________________Phone____________________ Educationand Training High School Attended: ___________________________ Diploma? Yes/No______________ Year Graduated: _____ College Attended: ____________________ Date(s) Attended: _____________ Degree: _____________________________ Major: __________________________ Cosmetology School Name: __________________________________________ Have you done hair for Weddings? If no, would you be willing to learn? _______________________________________________________________________
  • 2. Which specialty do you prefer and why? Color/Cut/Perm/ Other____________________________________________________ _______________________________________________________________________ List 5 things that matter to you the most at work: 1) _____________________________________________ 2) _____________________________________________ 3) _____________________________________________ 4) _____________________________________________ 5) _____________________________________________ Give the names of 3 references (name, phone, address)? 1) _____________________________________________ 2) _____________________________________________ 3) _____________________________________________ I hereby certify that the information contained In this application is true and correct to the best of my knowledge and agree to have any statements verified by CONTRAST SALOON I authorize the references listed above, as well as all other individuals whom the Company contacts, to provide the Company with all employment and job-related information they may have. Further, I specifically indemnify and hold harmless the company and its Members, Officers, agents, employees and representatives and all other parties and persons from any and all liability for any damages that may result from furnishing such information to the Company as well as from the use or disclosure of such information by the Company or any of its Members, Officers, agents, employees or representatives. I understand that any misrepresentation, falsification or material omission of information on t his application may result in my disqualification from hiring or, if I am hired, dismissal from employment. If hired, I agree to conform to the rules and standards of the Company as published and disseminated by the Company and as the Company, in its sole discretion, may change from time to time. I further agree that my employment and compensation can be terminated at will, with or without reason, and with or without notice, at any time, either at my option or at the option of the company. I understand that no employee or representative of the Company, other than the president or his designated representative, has the authority to enter into any agreement for employment for any specified period of time, or make any express or implied agreement for a specified time unless the president and I both sign a written agreement that clearly and expressly specifies intent to do so. I agree that this shall constitute a final and fully binding agreement with respect to the at-will nature of my employment and that there are no oral or collateral agreements regarding this matter. I also understand that all offers of employment are conditioned on the company's receipt of satisfactory responses to reference requests and the completion of any other background check the Company may require, as well as satisfactory proof of my identity and legal authority to perform the duties I’m assigned by the Company in accordance with all applicable federal, state and local governmental laws and regulations. Signature ______________________________________ Date ________________________