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Roby’s Pre-Employment Application

Roby’s, Inc. is an equal opportunity employer and adheres to the principles and practices outlined in the Civil Rights Act of 1964, which prohibits discrimination in employment on the basis of race, sex, religion or national origin and Public Law 90-202 which prohibits discrimination based on age.

This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until ALL questions have been answered.













List names of employers in consecutive order with present or last employer listed first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give the firm name and supply business references. PLEASE GIVE MONTH AND YEAR.

Give three references, not relatives or former employers.

Use the space below to describe WHY you are interested in working for Roby's, Inc. List those skills and abilities that you feel qualify you for a position with us.

I certify that the answers given by me to the forgoing questions and statements are true and correct without any consequential omissions of any kind whatsoever. I understand that any misleading or incorrect statements may render this application voide and, if employed, would be cause for my termination. I further agree that you shall not be liable in any respect if my employment is terminated because of falsity of statements, answers or omissions made by me in this questionnaire. I also authorize the companies, schools or person named abouve to give any information regardign my employment, character, and qualifications and hereby relase said companies, schools or persons from all liability for damage for issuing this information. I further understand that the taking of a drug tests are a condition of employment and the refusal to take such tests when asked will subject me to termination. I also understand that my employment is at will.