Careers 1Personal Information2Education Info3Employment4References5Remarks6Acknowledgments and Arbitration Agreement Date MM slash DD slash YYYY Position applied for: Type of position F/T P/T Name First Last Email PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Friends/Relatives employed by Tichenor & Associates: Date available for start: MM slash DD slash YYYY Salary Desired: Emergency Contact High SchoolName & Address of School Years Attended Diploma or Degree CollegeName & Address of School Years Attended Diploma or Degree OtherName & Address of School Years Attended Diploma or Degree CPACPA Certificate: Yes No State of CPA Certificate Number: Date Issued MM slash DD slash YYYY Eligible to sit for exam Yes No Currently sitting for exam Yes No Employer 1Company Address Starting Salary: Ending Salary: Reason for leaving: Employer 2Company Address Dates of Employment Starting Salary: Ending Salary: Reason for leaving: Employer 3Company Address Dates of Employment Starting Salary: Ending Salary: Reason for leaving: Reference #1Name & Occupation Address PhoneReference #2Name & Occupation Address PhoneReference #3Name & Occupation Address Phone RemarksGive 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. Agree Δ