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Employment Application

1 Personal Information Please complete all fields marked with an asterisk (*)

2 Education Information List most recently attended institutions first
School 1

3 Position Information

4 Employment Information List most recent / current employer first
Employer 1

5 Authorization
IF YOU HAVE ANY QUESTIONS REGARDING ANY STATEMENTS ON THIS EMPLOYMENT APPLICATION, ASK MANAGEMENT PRIOR TO SIGNING THIS APPLICATION. I certify that the facts and statements in this application are true and correct to the best of my knowledge and I understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements made, and of references listed, by me herein to give Taycor Financial or its subsidiaries (The Organization) information important to the consideration of my employment. I hereby release The Organization and all parties considered by it for the purposes above stated, from any liability in connection with the investigation. In consideration of my employment, I agree to conform to the rules and policies of The Organization. Further, I understand and agree that my employment is “at-will” and that my employment may be terminated by either myself or The Organization at any time with or without cause. It is also understood that no written documents, verbal assurances, or other conduct shall be construed to modify this “at-will” nature of the employment relationship, unless the modification is in an expressly written contract which is signed by me and the President of The Organization. Proof of Citizenship or immigration and employment eligibility will be required upon employment. You will not be denied employment solely because of a conviction record, unless the offense is related to the job for which you have applied. YOU ARE HEREBY ADVISED THAT A BACKGROUND REPORT MAY BE MADE WHICH WILL PROVIDE INFORMATION CONCERNING CHARACTER, GENERAL REPUTATION, PERSONAL CHARACTERISTICS AND MODE OF LIVING. UPON REQUEST, ADDITIONAL INFORMATION AS TO THE NATURE AND SCOPE OF THE REPORT, IF ONE IS MADE, WILL BE PROVIDED.

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