Employment Application

List your last (4) employers, assignments or volunteer activities, beginning with the most recent

List the three persons whom we may contract for professional reference.

I certify that all information I have provided is true and complete to the best of my knowledge. I understand that information provided by me that is

found to be false, incomplete or misrepresented, may result in a denial of employment or discharge.

I authorize the investigation of all statements contained in this application, resume or job interview as may be necessary in arriving at an

employment decision and release the Employer from any liability. The employer may contact any listed references on this application.

I understand that this application is not a contract of employment. If hired, I understand that employment with Ferguson Funeral Home, LLC. may be

terminated by either the Company or be me at any time with or without cause.

I understand and acknowledge that if "HIRE" any additional documents needed must be submitted to the Employer within 48 HOURS of notice.