Format: 123-12-1234

Current Address


Employment History
Employment History: 1

Reference: 1









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Certify that the information contained in this application is correct to the best of my knowledge. I understand that falsification of omission of material fact shall be grounds for rejection of this application or termination of my employment with TCA Business Service Inc. (the "Company") at any time regardless of the time elapsed before finding.

I shall produce applicable documents showing that I am a United States citizen or alien lawfully authorized to work in the United States within the time frame specified by 
TCA Business Service, Inc. to meet the Immigration Reform and Control Act of 1986 requirements.

I authorize my prior employers, education institutions and other references listed on the application to give 
TCA Business Service, Inc. any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, I release all persons or entities from all liability for any damage that may result from furnishing information to TCA Business Service, Inc, I also release TCA Business Service, Inc. and all of its employees from all liability for any damage that may result from TCA Business Service Inc.\' reliance onthe information furnished.

I shall keep in strict confidence all information concerning the business of 
TCA Business Service In customers. I shall not accept or hold employment with others that might create a conflict of interest with TCA Business Service, Inc.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employement relationship with this organization is of any "at will" nature, which means that the Employee may resign at any time and 
TCA Business Service, Inc. may discharge the Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless an authorized executive of TCA Business Service, Inc. specially acknowledges such change in writing.

I understand that I am required to abide by any comply with all policies/regulations and safe practices of 
TCA Business Service, Inc., including the following:

  • I will not operate any vehicles, equipment, or machinery other than assigned by TCA Business Service, inc., for what I'm qualified and trained to operate.
  • I acknowledge that I am not to work more than six (6) feed above or below ground level.
  • I understand that I am not to lift anything over 40 pounds.
  • I will contact TCA Business Service, Inc. If I'm asked to do a task other than what I was sent to perform.
  • TCA Business Service, Inc. is an drug-free environment, and I acknowledge that I may be required to submit to drug-screening during/upon my employment process.