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APPLICATION FOR EMPLOYMENTFOR USE IN SPECIFIC JURISDICTIONS(WITH SALARY HISTORY, NO CRIMINAL HISTORY)
EQUAL OPPORTUNITY EMPLOYER. It is our policy to abide by all federal, state and local laws prohibiting employmentdiscrimination based on a person’s race, color, religious creed, sex, national origin, ancestry, citizenship status,pregnancy, childbirth, physical disability, mental and/or intellectual disability, age, military status, veteran status(including protected veterans), marital status, registered domestic partner or civil union status, familial status, gender(including sex stereotyping and gender identity or expression), medical condition (including, but not limited to, cancerrelated or HIV/AIDS related), genetic information, sexual orientation, or any other protected status.
Are you subject to any type of agreement with a current or former employer or entity that would restrict your ability to work at Insperity or the client company to which you have applied (e.g., non-compete, non-solicitation)?
If "Yes" to the above question: Please explain why
EDUCATION & TRAINING
EDUCATION & TRAINING (CONTINUED)
(List all work experience beginning with the present or most recent job. Insperity will contact all previousemployers to verify your employment. Please list your current or most recent employer first and indicate whether you are currentlyemployed in the boxes provided. Insperity will not contact your current employer without permission. You may also include anyvolunteer and/or military work. Use back of application, if necessary.)
CURRENT / MOST RECENT JOB
BUSINESS REFERENCES (List three individuals, in addition to listed employment references, known to you for at least three years.)