(Do not include information about any convictions that have been annulled, expunged, or sealed. Answering “yes” to
this question will not automatically bar you from employment. The Company will make an individualized assessment of
Please list three professional references.
Previous Employment / Company #1
Previous Employment / Company #2
Previous Employment / Company #3
PLEASE READ CAREFULLY BEFORE SUBMITTING.
Sagis, PLLC is an equal opportunity employer. Sagis, PLLC does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex (including sexual harassment), sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for Sagis, PLLC to hire me. If I am hired, I understand that either Sagis, PLLC 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 Sagis, PLLC has the authority to make any assurance to the contrary.
I attest with my signature below that I have given to Sagis, PLLC true and complete information on this application. No requested information has been concealed. I authorize Sagis, PLLC to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.
Disclaimer and Signature.
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.