I assure that the information provided in this application is true and correct and that I have answered each
question fully and accurately. I understand that even if I am hired, I could be summarily terminated if it is
later determined that I have provided false information or omitted relevant information.
I authorize investigation of all statements contained in this application for employment as may be necessary
in arriving at an employment decision. As a condition of employment, all finalists will be required to sign a
reference release form and be subject to a background check that may include but is not limited to criminal
history record information.
This application for employment shall be considered active for a period of time not to exceed six months.
Any applicant wishing to be considered for employment beyond this time period should inquire as to whether
or not applications are being accepted at that time.
In the event of employment, I understand that false or misleading information given in my application or
interview(s) may result in discharge. I understand also, that I will be required to abide by all policies, rules
and regulations of Nemont Telephone Cooperative, Inc.