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Employment Applicationmatt stewart2019-09-29T19:54:41-05:00

Employment Application

  • Position Applying For

  • Personal Information

  • Employment Desired

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  • Education

  • High School

  • College

  • Other Schools

  • Conviction will not necessarily disqualify you from employment.
  • Note – current or potential lawsuits will not necessarily disqualify the applicant from employment.
  • References

  • Reference 1

  • Please enter a number from 0 to 150.
  • Reference 2

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  • Reference 3

  • Please enter a number from 0 to 150.
  • Employment History

  • Employer 1

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  • MM slash DD slash YYYY
  • Employer 2

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  • Employer 3

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  • MM slash DD slash YYYY
  • Upload Resumé

  • Max. file size: 256 MB.
  • I, the undersigned, certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.
  • Fair Credit Reporting Act (FCRA) Disclosure regarding the Procurement of Consumer and Investigative Consumer Reports

  • As required by the Fair Credit Reporting Act (FCRA), we advise you that, in connection with your application for employment or, if employed by Lamson Dugan & Murray, LLP, your eligibility for continued employment, promotion, or any other employment purpose, we may obtain a consumer report, regarding your credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living, with respect to you for employment purposes from a consumer reporting agency.

  • I understand that Lamson Dugan & Murray LLP or a third-party, consumer reporting agency acting on its behalf may conduct an investigation to obtain information about my background for the purposes of determining by my eligibility for employment or, if I am employed by Lamson Dugan & Murray, LLP, my eligibility for continued employment, promotion, or any other employment purpose, including, but not limited to the following information: information about my personal character, previous employment, general reputation, educational background, credit history, driving record, and/or criminal history. I authorize all persons; corporations; credit agencies; educational institutions; law enforcement agencies; city, state, county, and federal courts; and military services to release any such information about my background. Moreover, I authorize any person or entity conducting the investigation or compiling and/or processing such information to furnish the company, and/or any third party acting on the company's behalf, with such information. I further understand that the company will provide me with written notice if any adverse employment action is to be taken based in whole or in part on information contained in a consumer report within the meaning of the Fair Credit Reporting Act.
  • MM slash DD slash YYYY
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Omaha

10306 Regency Parkway Drive
Omaha, Nebraska 68114
Phone: 402–397–7300

Lincoln

5100 Van Dorn Street #6812
Lincoln, Nebraska 68506
Phone: 402–475–9400

Des Moines

1045 76th Street, Suite 3000
West Des Moines, Iowa 50266
Phone: 515-513-5003

Send us a message*

We invite you to contact us with any questions, or to learn more about what we can do for your unique situation. Please e-mail us with the form below or call us at (402) 397-7300.
*Disclaimer The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.
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*Disclaimer The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form. See our Privacy Policy.
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