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CPAY Application

Date Applied
First Name
Last Name
Address 1
Address 2
Mobile Phone
Desired Job Title
Desired Salary
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Employment History (This is required. If a resume is submitted, please type "resume submitted")
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Do you know someone seeking employment? Please enter their name and phone number or email address:
I certify that I am a U.S. citizen, permanent resident, or a foreign national with authorization to work in the United States.
AGREEMENT: If the undersigned candidate accepts employment from an employer CPAY Staffing & Recruiting has presented to the candidate, the candidate agrees to notify CPAY Staffing & Recruiting in writing within 48 hours of employment offer. CPAY Staffing & Recruiting shall be compensated for placement fees by the employer. If the employer fails to compensate CPAY Staffing & Recruiting the candidate must terminate employment within 90 days or shall be liable for placement fees.
I hereby certify that this application contains no willful misrepresentation or falsifications and that the information given by me is true and complete to the best of my knowledge and belief.  I am aware that should investigation at any time disclose any such misrepresentation or falsification as to a material fact, my employment will be terminated.  You are hereby authorized to make any investigations regarding personal history.
By signing and submitting this form, you agree to this statement.
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