you are interested in employment, please do not call our office.
You can either
CURRENT AND FORMER EMPLOYERS
List Below Your Last Four Employers, Starting With The
Last/Present One First
READ BEFORE SUBMITTING THIS APPLICATION:
hereby certify that I personally completed this form and that the information is true,
correct and complete, to the best of my knowledge. I authorize Wabash Mutual
Telephone to obtain information relating to my past or present work history and to do a
complete background investigation in accordance with state and federal laws.
Furthermore, I give my express consent for Wabash Mutual Telephone and previous employers,
their agents, or Medical Review Officers or their agents, to release information
concerning any of my past controlled substance tests. I release all persons from any
liability or damages. I authorize release of any information, including all
information related to my alcohol and controlled substances testing and training records,
by any former employers and hold them harmless of any liability from release of said
We are an equal
opportunity employer, dedicated to the policy of non-discrimination in employment on any
basis including race, color, age, sex, religion, handicap or national origin.