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About You

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Personal Information

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Reference and Eligibility Information

Are you 18 years of age or older? *

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Education History

High School

College

Additional Training

Work Availability

Please tell us what hours you are available for work each day of the week.
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Position You're Applying For

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Have you ever applied at Breathe in the past? *

Which location(s) would you like to apply for? *

Previous Employment

Please list your previous employers, the dates you worked and the position you held.

References

List below the names of three individuals not related to you, whom you have known for at least one year.

Reference 1

Reference 2

Reference 3

Resume

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Terms and Conditions

breathe® is an Equal Opportunity Employer and does not unlawfully discriminate in employment practices.

I authorize breathe® to contact, obtain and verify the accuracy of information contained in this application from all previous employers, educational institutions and/or references. I also hereby release from liability breathe® and its representatives for seeking, gathering and using such information to make employment decisions. I also release all previous employers, educational institutions and references from any and all liability from them providing breathe® with information that its representatives may request pursuant to this release.

Upon becoming employed I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, for any reason or no reason, at any time, with or without notice, so long as there is no violation of applicable federal or state law.

I have told the truth on this application and I am seeking employment under all of the above conditions. If it is later determined I lied on this application I know that I will be terminated for making false statements that breathe® relied on when determining to hire me.

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