Give below the names of three persons not related to you, whom you have known at least one year. Please list Name, Address, phone number.
Electronic Signature Checkbox *
By checking this box and typing my name below, I have agreed to submit this application by electronic means. By signing electronically, I certify that my answers, to the best of my ability, are correct and complete. All hiring and employment at Coney Waffle LLC is at will. I understand this application is not an employment contract nor can be used to create one. Employment by Coney Waffle LLC has no specific term and may be terminated by the employee or Coney Waffle LLC with or without notice. I acknowledge that Coney Waffle LLC has not made any promises or representations that differ from those contained in this paragraph.
I release and agree to hold harmless and individual, company, business institution or government agency from all liability with regard to furnishing information to Coney Waffle LLC. I agree to release and hold harmless Coney Waffle LLC from all liability with respect to the receipt of such information.
Releases and Applicant’s Signature:
In connection with my application for employment and as a condition of continuing employment, I understand that investigative background inquiries may be made on me including previous employers, schools, consumer credit, criminal investigations, motor vehicle, and other reports. These reports will include information as to my character, work habits, performance, education, compensation, and experience along with reasons for termination of employment from pervious employers. Furthermore, I understand that the company may be requesting information from various federal, state, and other agencies which maintain records concerning my past activities relating to my driving, credit, criminal, civil and other experiences as well as claims involving me in the files of insurance companies. I authorize without reservation, any part or agency contracted to furnish the above mentioned information and release all parties involved from liability and responsibility for doing so. I hereby consent to obtaining the above information from Coney Waffle LLC and/or any other agents. This authorization and consent shall be valid in original, electronic signature, fax or copy form.