EDUCATION

REFERENCES

Please list three professional references

PREVIOUS EMPLOYMENT

MILITARY SERVICE

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my termination. As part of company procedure, I permit Supreme Vision to check personal and/or employment references and perform a background check if needed. I understand that if I am hired by Supreme Vision, I will be on a 6 month probation, and will be reviewed at the end of the probation period for consideration for permanent employment. I understand that Supreme Vision reserves the right to a decision at the end of my 6 month probation period.

I understand and agree with the information shown above: