Please list them beginning with your present position and ending with the first job you took after graduation. Your listing should include the name of each employer, the address, the dates of employment, and a brief statement describing your major responsibilities. I waive access to this report, which shall be considered confidential. If the applicant has not agreed, this report will be made available to the applicant on request. If this portion of the form is not completed, we will assume that the applicant HAS NOT waived access.
Some talented individuals make mediocre scholastic records.
Please check any personality characteristics which would interfere with the applicant's ability to work effectively with others. Please include additional comments regarding applicant's assets and liabilities. Back to the PPSY Home Page .