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Employer Name	Phone	Address	Supervisor Name	Start Date	End Date	Job Title	Job Duties and Responsibilities	Rehire Status	Rate of Pay	Currently Employed Here?
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References
Please provide 2 persons not related to you and whom you have known at least one year.
Reference 1
Name
First Last
Years Known
Phone
Address
Street Address Address Line 2 City State ZIP Code
Reference 2
Name
First Last
Years Known
Phone
Address
Street Address Address Line 2 City State ZIP Code

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User Agreement
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I CERTIFY THAT THIS INFORMATION ON THE APPLICATION IS ACCURATE. I UNDERSTAND THAT FALSIFYING INFORMATION ON THIS APPLICATION CAN RESULT IN A REFUSAL TO HIRE OR DISCHARGE IN THE EVENT OF EMPLOYMENT. I UNDERSTAND THAT I AM APPLYING FOR EMPLOYMENT THAT CAN BE TERMINATED BY TRI-ARC FOOD SYSTEMS, INC DBA BOJANGLES’ AT ANY TIME WITHOUT PRIOR NOTICE AND THAT I MAY TERMINATE MY EMPLOYMENT AT ANY TIME. COMPLETION OF THIS APPLICATION DOES NOT CONSTITUTE A GUARANTEE OF EMPLOYMENT. I ALSO UNDERSTAND THAT NOTHING IN THE POLICIES OR PROCEDURES OF THE COMPANY IS A CONTRACT OR GUARANTEE OF EMPLOYMENT.
- I agree to the above statement.
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High School