PINNACLE POINT WELLNESS JOB APPLICATION

For Pinnacle Point Wellness HR Department

Applicant: Pinnacle point Wellness is an equal opportunity, employer, and is committed to providing a work environment that is free from discrimination and harassment. We welcome applicants from all backgrounds in our committed to provide a work environment that is inclusive and respectful to all individuals.

If under the age of 18, can you provide a work permit?

If no, please explain why:

Are you a citizen of the United States?

If not, are you legally allowed to work in the United States?

Type of Employment Desired:

Have you ever pleaded guilty, no contact or been convicted of a crime?

Do you have any pending criminal charges?

Previous Employment:

Dates of Employment:

May we contact this employer for a reference?

I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal employment, educational, financial and other related

matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.

In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.