Tichenor & Associates, LLP - Online Application

Tichenor and Associates, LLP is an equal employment opportunity employer. All qualified applicants will be considered without regard to race, color, religion, sex, national origin, physical or mental disability, special disabled veteran status, status as a veterans of the Vietnam era, or other protected class.

PERSONAL INFORMATION
Date:	Position applied for: F/T P/T
Name:
Address (Street, City, State, Zip):
Phone:	SS Number:
email Address:
Friends/Relatives employed byTichenor& Associates:
Date Available:	Salary Desired:
Emergency Contact:

EDUCATION
Level	Name & Address of School	Years Attended	Diploma or Degree
High School
College
Other
CPA Certificate: yes no State of CPA:
Certificate No.:		Date Issued:

EMPLOYMENT List all of your employers over the last 15 years, beginning with the most recent employer.
Company:	Address:
Dates of Employment:	Salary: Starting: $; Ending: $
Duties: Reason for leaving:

Company:	Address:
Dates of Employment:	Salary: Starting: $; Ending: $
Duties: Reason for leaving:

Company:	Address:
Dates of Employment:	Salary: Starting: $; Ending: $
Duties: Reason for leaving:

REFERENCES Give the name, occupation, address and phone number of 3 persons, not related to you, to whom we may refer.
Name & Occupation	Address	Phone Number

REMARKS
Give any additional information which may be of interest in considering your qualifications.

The information in my application for employment is true and complete. As part of the hiring process, I acknowledge that I may be required to submit to a medical examination, including a drug/alcohol screen. I may also be required to execute forms to facilitate background checks. I authorize Tichenor & Associates, LLP to contact my references and former employers. I release my references and former employers from any and all liability in connection with providing information to Tichenor & Associates, LLP. If I become a Tichenor & Associates, LLP employee, I understand that any and all employment-related legal disputes, including but not limited to discrimination and other wrongful employment practice claims, between myself and Tichenor & Associates, LLP will be resolved through final, mandatory, and binding arbitration, with the exception of workers� compensation, unemployment compensation, unfair competition/trade secret claims, breach of confidentiality, and any restrictive covenant claims. Tichenor & Associates, LLP will bear the costs of the arbitrator, court reports for the arbitration hearing, and American Arbitration Association fees. The arbitration will be governed by the employment dispute resolution rules of the American Arbitration Association, except as otherwise mutually agreed to by the parties;

The submission of the above information constitutes my electronic signature. Check here to comply.