The position for which you applied may require you to drive Project Turnabout vehicles. Should you be
offered and accept a position, can you furnish a current, valid Minnesota Driver’s License and a copy of
your driving record?
Other (Please Specify)
List all employment activity for the past 5 years, starting with your most recent position. Also include any volunteer work
which relates to the job for which you are applying. If you were unemployed for any period, state the nature of your activities. As your work experience is an important factor in determining a position for which you are best suited, please complete this application carefully. If you need additional space, please add additional sheets.
Please fill out completely. A resume may be attached, but will not be accepted in place on any information required on this form.
(You may exclude any that would reveal any Affirmative Action protected status, such as gender, race, religion, national origin, age, ancestry, or disability.)
I certify that the answers given in this application are true and correct and that I have not knowingly withheld any facts or circumstances. I understand that all answers given on my application for internship are subject to verification and that should I be accepted at Project Turnabout, any misrepresentation or omission of facts on this application may be sufficient reason for termination or internship.
Authorization for reference and release of reference from liability
To: Project Turnabout
Address: PO Box 116
City/State/Zip: Granite Falls, MN 56241
Phone: (320) 564-4911
Fax: (320) 564-3122
In consideration of the receipt and evaluation of my application for internship by:
I agree and represent that:
I authorize any references, schools, current or former employers, current or former supervisors, or any other person or organization, whether or not identified in this application, to give your any information regarding my character and fitness for internship. I hereby release any individual, employer, reference, or any other person or organization, including record custodians, both collectively and individually, and whether identified in this application or not, from any and all liability for damages of whatever kind or nature which may at any time result to me, my heirs, or family, on account of compliance or any attempts to comply with this authorization. I further state that I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF AND I SIGN THIS RELEASE AS MY OWN FREE ACT. This is a legally binding release which I have read and understand.
I have read and understand the above provisions and agree to them.
Affirmative Action Data Record
Employees are treated during the hiring process and employment without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status. As an employer with an Affirmative Action Program, we comply with government regulations, including Affirmative Action responsibilities where they apply.
The purpose for this Data Record is to comply with government record keeping reporting and other legal requirements. Period reports are made to the government on the following information. The completion of the Data Record is optional. If you choose to volunteer the requested information, please note that all Data Records are kept in a Confidential File and are not a part of your Application for Employment or personnel file. Please note:
YOUR COOPERATION IS VOLUNTARY. Inclusion or exclusion of any data will not affect any employment decision.