Applicant Information

Personal Information



Position Information

Do you have any relatives or friends currently employed with Phoenix or its subsidiaries?
Are you legally eligible to work in the U.S.?
Are you over 18 years old?
Have you ever worked for this company?
Have you ever been convicted of a felony?


Education

Did you graduate?

Did you graduate?

Did you graduate?


References

Please list three professional references

Reference 1


Reference 2


Reference 3


Previous Employment

Most Recent Employer
May we contact your previous supervisor for a reference?

May we contact your previous supervisor for a reference?

May we contact your previous supervisor for a reference?

Disclaimer

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed with Vizient Southern States or its subsidiaries, any false statements, omissions or misrepresentations may result in my dismissal. I authorize the Company to make a complete investigation of any of the statements set forth in this application and hereby release all parties from any liability for any damage that may result from furnishing the same.

I understand that employment at this Company is "at-will," which means that either the Company or I can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statue. All employment is continued on that basis. I understand that no supervisor, manager, or executive of the Company – other than the president in a signed document – has any authority to alter the foregoing.