Liniform Employment Opportunities

Background Information

NOTICE: LINIFORM will conduct a criminal background investigation on all employees. Management will take in to consideration the seriousness and timeframe of each offense. Based on position requirements, conviction of a crime alone will not disqualify an applicant.
Have you ever been convicted of a criminal offense?
- No
- Yes
Please Explain
Number of incidents?
Nature of incidents?
Date(s) of incident(s):
Resolution

PLEASE READ AND UNDERSTAND THE POINTS BELOW BEFORE SIGNING:
I understand that:
- I certify that the information provided is accurate and that inaccurate information will result in employment termination if I am hired.
- I hereby authorize any person to release any information about me concerning my suitability to act as an LINIFORM employee as such person deems relevant in his or her sole discretion.
I affirm that I have read and understand the above information and that the information I have given LINIFORM is accurate and complete.
Applicant Name*
Date*
MM
DD
YYYY
Applicant Signature*
Liniform Service is committed to the principle and practice of equal employment opportunity. No person because of race, color, national origin, religion, gender, sexual orientation, age, handicap, or other non-merit factors shall be discriminated against in employment by this organization.

THANK YOU FOR TAKING THE TIME TO COMPLETE THIS APPLICATION. WE LOOK FORWARD TO WORKING WITH YOU.
Name
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Employment