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The professionals of CPA Financial Group, LLC and its affiliates are Registered Representatives and Investment Adviser Representatives with/and offer securities and advisory services through Commonwealth Financial Network®, member FINRA, SIPC, a Registered Investment Adviser. Plan to Build Wealth

Employment Application

We are an equal opportunity employer. We comply with all applicable Federal, State and Local laws concerning discrimination in employment. All applicants for employment will be considered without regard to race, color, age, creed, sex, national origin, marital, familial or veteran status, or handicap.

POSITION(S) APPLIED FOR NAME ADDRESS CITYSTATEZIP PHONECELL PHONE EMAILSOCIAL SEC# REFERRAL SOURCEWeb AdvertisementNewspapper AdvertisementEmployee ReferralOther Professional License:YesNoAvailable Start Date Are you legally eligible for employment in this country?YesNo Are you able to meet the mandatory overtime requirements during tax season?YesNo Have you ever been convicted of a crime in the last 7 years?YesNo If yes, please provide dates and details

EDUCATION

College AttendedYear of Graduation High School AttendedYear of Graduation Other

WORK EXPERIENCE

May we contact your previous employers?YesNo May we contact your current employer?YesNo Attach Resume I certify that the information contained in this application and in any resume provided is correct and complete to the best of my knowledge. I understand that any false statements, misrepresentations or omissions made by me on this application or any supplement will be sufficient grounds for rejection of this application or discharge after employment.

I give the employer the right to obtain pertinent information concerning me from former employers and others, and I release all those providing or requesting such information from any liability that may arise by truthful disclosures or such investigations.

If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no representative of the employer, other than an authorized officer, has the authority to make any assurances to the contrary and that such assurances must be in writing.

I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

By checking the box below I am authorizing St. Clair CPA Solutions to process this Employment Application, and conduct any necessary background checks related to prospective employment."
Acceptance of terms by Applicant:YesToday's Date: © Copyright 2008 St. Clair CPA Solutions. All rights reserved.
28 South Centre Street | Merchantville, NJ 08109 | 856.482.5600
101 West Elm Street | Suite 500 | Conshohocken, PA 19428 | 610.862.1998