REFERENCES: Please list three professional references
NAME
RELATIONSHIP
COMPANY
PHONE/ALTERNATE PHONE
PLEASE READ CAREFULLY BEFORE SIGNING APPLICATION
I have submitted the attached form to Champion Kidz for the purpose of obtaining employment. I acknowledge
that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate
Champion Kidz to further process my application.
My signature below attests to the fact that the information that I have provided on my application, resume, given
verbally, or provided in any other materials, is true and complete to the best of my knowledge and also
constitutes authority to verify any and all information submitted on this application. I understand that any
misrepresentation or omission of any fact in my application, resume or any other materials, or during any
interviews, can be justification for refusal of employment, or, if employed, termination from Champion Kidz.
I also affirm that I have not signed any kind of restrictive document creating any obligation to any former employer
that would restrict my acceptance of employment with Champion Kidz in the position I am seeking.
I understand that this application is not an employment contract for any specific length of time between
Champion Kidz and me, and that in the event I am hired, my employment will be “at will” and either
Champion Kidz or I can terminate my employment with or without cause and with or without notice at
any time. Nothing contained in any handbook, manual, policy and the like, distributed by Champion
Kidz to its employees is intended to or can create an employment contract, an offer of employment or
any obligation on Champion Kidz part. Champion Kidz may, at its sole discretion, hold in abeyance or
revoke, amend or modify, abridge or change any benefit, policy practice, condition or process affecting
its employees.
References: I hereby authorize Champion Kidz and its agents to make such investigations and inquiries into my
employment and educational history and other related matters as may be necessary in arriving at an employment
decision. I hereby release employers, schools, and other persons from all liability in responding to inquires
connected with my application and I specifically authorize the release of information by any schools, businesses,
individuals, services or other entities listed by me in this form. Furthermore, I authorize Champion Kidz and its
agents to release any reference information to clients who request such information for purposes of evaluating
my credentials and qualifications.
DATE:
