Please list 3 (three) professional references:
Please read and acknowledge the following:
I certify herein that the answers are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
The Applicant understands that neither this document or any offer of employment from MED-VAN TRANSPORT constitutes an employment contract unless a specific document to that effect is agreed to by the employer and the employee in writing.
In the event of employment, I understand that false or misleading information given in my application or interview may result in immediate discharge. Furthermore, I understand I am required to abide by all rules and regulations of MED-VAN TRANSPORT.