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Employment Application for the American Board of Urology

Applicant Information

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Education

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Please list three professional references

Reference #1

Reference #2

Reference #3

Previous Employment

Most Recent Employer

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Previous Employment #2

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Previous Employment #3

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Disclaimer and Signature

In exchange for the consideration of my job application by The American Board of Urology (ABU), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of the ABU, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the ABU permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the ABU from any liability as a result of such contract.

I understand that, in connection with the routine processing of your employment application, the ABU may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the ABU will provide me with additional information concerning the nature and scope of any such report requested by it.

Please upload a copy of your resume.
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