References must be non-relative and can not be former employers
(Please answer the questions below as completely as possible.)
We request your cooperation in completing the following voluntary applicant demographic information. This information will not be used in making any decision affecting employment or any personnel action following employment. It will be used to complete records required of CEDARS by governmental authorities.
By submitting this form, you certify that the information contained in this application is true to the best of your knowledge and belief. You understand that any material omission of facts or misrepresentation may result in your discharge, if hired, regardless of when discovered. Unless otherwise expressly stated in a written appointment to a position or in a written contract of employment duly approved and executed by CEDARS, employees are considered at will, and either CEDARS or the employee may terminate the employment relationship upon giving the proper advance notice. You grant permission to CEDARS to investigate your employment record, educational record, criminal record and other records to verify the information you have provided on this application and release CEDARS from any liability resulting from such investigation.
6601 Pioneers Boulevard Lincoln, NE 68506 Phone (402) 434-KIDS (5437) Fax (402) 437-8833 firstname.lastname@example.org