Required if you answered Yes above.
Employment History
Include your last seven (7) years of employment history, including periods of unemployment, starting with the most recent and working backwards. Incomplete information could disqualify you from further consideration.
Certification & Signature
I UNDERSTAND THAT NEITHER THE COMPLETION OF THIS APPLICATION NOR ANY OTHER PART OF MY CONSIDERATION FOR EMPLOYMENT ESTABLISHES ANY OBLIGATION FOR H&C TO HIRE ME. IF I AM HIRED, I UNDERSTAND THAT EITHER H&C OR I CAN TERMINATE MY EMPLOYMENT AT ANY TIME AND FOR ANY REASON, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE. I UNDERSTAND THAT NO REPRESENTATIVE OF H&C HAS THE AUTHORITY TO MAKE ANY ASSURANCE TO THE CONTRARY. I ATTEST THAT I HAVE GIVEN TRUE AND COMPLETE INFORMATION ON THIS APPLICATION. IF EXTENDED AN OFFER OF EMPLOYMENT, I AUTHORIZE H&C TO CONDUCT A PRE-EMPLOYMENT SCREENING, WHICH CAN INCLUDE REFERENCES, CREDIT CHECK, EDUCATIONAL HISTORY, CRIMINAL CHECK AND A PRE-EMPLOYMENT DRUG SCREEN & PHYSICAL. FAILURE TO REVEAL ANY PRIOR EMPLOYER OR GIVING FALSE INFORMATION MAY BE GROUNDS FOR DISQUALIFICATION OR TERMINATION. THIS APPLICATION IS VALID ONLY FOR 60 DAYS FROM THE DATE ABOVE.