Employment Applicant Information , U.S. Citizen? YesNo if No, are you authorized to work in the U.S. YesNo Driving Restrictions? YesNo if Yes, explain: Have you ever been convicted of a felony? YesNo if Yes, explain: Education From to Did You Graduate YesNo From to Did You Graduate YesNo From to Did You Graduate YesNo References Please list three professional references Previous Employment From to May we contact your previous supervisor for a reference? YesNo From to May we contact your previous supervisor for a reference? YesNo From to May we contact your previous supervisor for a reference? YesNo Military Service From To If other than honorable, explain: Disclaimer and Signature I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview ?may result in my release.