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List below your last three employers, starting with the most recent.
Provide the names of three people, not related to you, whom you have known at least one year, who can provide work-related references pertaining to you.
Please read and check the boxes below
I hereby authorize Other Avenues to thoroughly investigate my references, work record, and other matters related to
my suitability for employment and, further, authorize the references I have listed to disclose to Other Avenues any and all
letters, reports, and other information related to my work records, without giving me prior notice of such disclosure. In
addition, I hereby release Other Avenues, my former employers and all other persons, corporations, partnerships, and
associations from any and all claims, demands, or liabilities arising out of or in any way related to such investigation or
I understand that nothing contained in this application, or conveyed during any interview which may be granted or
during my work with Other Avenues, if hired, is intended to create an employment contract between me and Other
Avenues. In addition, I understand and agree that if I am employed, my employment is for no definite or determinable period and may be terminated at any time with or without prior notice, at the option of either myself or Other Avenues
membership (worker-owners), and that no promises or representations contrary to the foregoing are binding on Other Avenues unless by written resolution of the Other Avenues Board of Directors