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Momentum Employment Application

  • Upon hire, will you be able to provide proof of eligibility to work in the US as specified in the Immigration Reform and Control Act of 1988?
  • List present or most recent experience first, including U.S. Armed Forces experience, volunteer work, and periods of unemployment. A resume may be attached, but the application must be completed in full.
    EmployerDates workedPositionPhoneSalaryReason for leaving 
  • Please list your education history
    School nameDegree typeMajorMinorGPA 
  • Please list any professional references
    NameTitleAddressPhonePlace of employment 
  • Application Terms

  • The Company provides equal employment opportunity to all employees and applicants without regard to race, color, religion, sex, natural origin, age, disability, military status, or status as a Vietnam-era or special disabled veteran, in accordance with applicable federal and state laws. In addition, we comply with all applicable state and local laws governing nondiscrimination in employment.

    I certify that all information made in this application, including any attachments, is accurate and complete to the best of my knowledge. I give consent for all contacted persons to provide information concerning my application, and I release each such person from liability for providing information to this company and its agents. Should any of the statements be subsequently proved inaccurate, I understand that this company may cancel my employment. A condition of employment by the Company is that you have not been convicted of a felony or are currently on felony deferred adjudication. In addition, if, while you are employed by the Company, you are convicted of a felony or are placed on or subjected to felony deferred adjudication, your employment may be terminated. Lastly, if while you are employed by the Company, you are charged with or convicted of a felony, you must inform Human Resources immediately.

    I understand that nothing in this application or interview process is intended to create an employment contract between the Company and me. Should this application result in my employment, you have the right to terminate my employment at any time and for any reason and the Company retains a similar right. I further understand that no representative of the company, other than the President and CEO, has any authority to enter into any agreement with me, or to promise employment for any definite term.

  • Please upload your resume in a pdf format
    Accepted file types: pdf, Max. file size: 50 MB.

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