MBAEA Application for Employment

GENERAL INFORMATION

Date(Required)
Name(Required)
Address(Required)

EDUCATION TRAINING

High School

Additional Schooling

Date

Date

Date

WORK EXPERIENCE

We will contact your current employer.
Address(Required)
Supervisor(Required)
Start Date(Required)
End Date
If you are currently employed with this company, please leave this field blank.

EMPLOYMENT REFERENCES

List three references, including particularly persons under whom you have worked. Please provide letters of reference from those persons with your application if you do not have letters in your credentials.
Reference One(Required)
Address(Required)
Reference Two(Required)
Address(Required)
Reference Three(Required)
Address(Required)

BACKGROUND

DOCUMENT UPLOAD

Drop files here or
Max. file size: 64 MB.

    AGREEMENTS

    I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for on this application is cause for dismissal. I also understand I may be assigned to positions other than that for which I initially made application and that my location of work and/or work hours may be changed. I agree that if employed by the Agency, in consideration for such employment, I shall become familiar with and comply with policies, procedures, and safety practices of the Agency as they exist. I authorize persons, schools, current employer (if applicable) and previous employers and organizations named in this application (accompanying resume, if any) to provide this Agency with any relevant information which may be required to arrive at any employment decision. I understand that a criminal records background check will be completed. I understand that this application is not a contract of employment and that no hiring is legal until approved by the Mississippi Bend AEA Board of Directors.
    DISCLAIMER: By typing your name, you are signing this application electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this application.
    This field is for validation purposes and should be left unchanged.