3 - EMPLOYMENT APPLICATION NEW v4 opentype

Employment Application

Personal Information

Name of Employer:

Education

U.S. Military Service Legal

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Federal, State, and local laws prohibit discrimination based on race, color, sex, religion, affectional or sexual orientation, national origin, ancestry, age, physical or mental disability that does not affect ability to perform essential job function(s) with or without reasonable accommodation, or any other protected status not listed in this statement. Your application will be considered in full accord with applicable Federal, State, and local requirements. ? 2010 DD IP Holder LLC This template is provided to Dunkin' Donuts franchisees to help them design human resource programs for their employees. 10/2010

Employment History

References Please Read Carefully

? 2010 DD IP Holder LLC This template is provided to Dunkin' Donuts franchisees to help them design human resource programs for their employees. 10/2010

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