I certify that the information provided in this application is true and correct to the best of my knowledge. I understand that misrepresentations or omissions may be cause for rejection or may be cause for subsequent dismissal if I am offered and accept employment.

I voluntarily and knowingly authorize any former employer, person, firm, corporation, school or government agency, its officers, employees and agents to release any and all information concerning my former employment to Big Brothers Big Sisters of Metro Milwaukee, its officers, employees and agents, or any other person or entity making a written or oral request for such information on their behalf. I understand that employment information may include, but is not limited to, performance evaluations and reports, job descriptions, disciplinary reports, letters of reprimand, and opinions regarding my suitability for employment possessed by it. 

I voluntarily and knowingly fully release and discharge, absolve, indemnify, and hold harmless such former employer, person, firm, corporation, school or government agency, its officers, employees and agents from any and all claims, liability, demand, and cause of action or damages arising from or incident to the disclosure or release except for the malicious purpose of preventing me from obtaining employment which the officer, employee, or agent disclosing such facts knows are untrue.

In compliance with state and federal law, Big Brothers Big Sisters of Metro Milwaukee does not discriminate on the basis of gender, race, color, marital status, religion, sexual orientation, national origin, citizenship status, gender identity, age, union affiliation, veteran status, or disability.

Typing your name below serves as acknowledgement and your signature. A formal electronic signature will be collected when you submit this form.