Have you ever applied to / worked for (Regaliz Medicare Ltd.) before?
Do you have any friends, relatives, or acquaintances working for [Our Company]?
Have you been convicted of or pleaded no contest to a crime within the last five years?
If yes, please describe the crime - state the nature of the crime(s), when and where convicted, and the disposition (final settlement) of the case:
You should be prepared to detail each position for the past five years and account for any gaps in employment during that period.
Are you currently employed?
I certify that the information contained in this application is true and complete. I understand that false information may be grounds for not hiring me or for immediate termination of employment if I am hired. I authorize the verification of all information listed above.