Please list your last four employers,
starting with the most recent.
Give the names of three persons not related to you, whom you have known at least one year.
Do you have any physical limitations that preclude you from performing any work for which you are being considered?
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time without prior notice."
Phone: (419) 841-6055 Fax: (419) 841-8267
2930 Centennial Rd. Toledo, Ohio 43617
Monday: 8AM to 8PM Tuesday: 8AM to 8PM Wednesday: 8AM to 8PM Thursday: 8AM to 8PM Friday: 8AM to 7PM Saturday: 9AM to 2PM Sunday: Closed