1. Employer Information
Employer: Tax Nation USA
Address: 2909 E Arkansas Lane Suite C
City/State/ZIP: Arlington, Texas 76010
Telephone: 2144890118
It is the policy of Tax Nation USA to provide equal employment opportunities to all applicants and
employees without regard to any legally protected status such as race, color, religion, gender,
national origin, age, disability or veteran status.
2. Applicant Information
3. Emergency Contact
Who should be contacted if you are involved in an emergency?
4. Job Position Applied For:Virtual Tax Business Partner
5. Have you applied to our company previously?
6. Are you at least 18 years old?
8. If hired, are you able to submit proof that you are legally eligible for
employment in the United States?
9. Applicant's Skills
Check those skills that you have. List any other skills that may be useful for the job you are
seeking. Enter the number of years of experience, and circle the number which corresponds to
your ability for each particular skill. (One represents poor ability, while five represents exceptional
ability.)
10. Applicant Employment History
List your current or most recent employment first. Please list all jobs (including self-employment
and military service) which you have held, beginning with the most recent, and list and explain any
gaps in employment. If additional space is needed, continue on the back page of this application.
11. Military Service:
12. Please provide any other information that you believe should be considered, including
whether you are bound by any agreement with any current employer:
CERTIFICATION
I certify that the information provided on this application is truthful and accurate. I understand that
providing false or misleading information will be the basis for rejection of my application, or if
employment commences, immediate termination.
I authorize Tax Nation USA to contact former employers and educational organizations regarding
my employment and education. I authorize my former employers and educational organizations to
fully and freely communicate information regarding my previous employment, attendance, and
grades. I authorize those persons designated as references to fully and freely communicate
information regarding my previous employment and education.
If an employment relationship is created, I understand that unless I am offered a specific written
contract of employment signed on behalf of the organization by its CEO, the employment
relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and
either I or my employer will be able to terminate the employment relationship at any time and
without cause. With appropriate notice, I will have the full and complete discretion to end the
employment relationship when I choose and for reasons of my choice. Similarly, my employer will
have the right. Moreover, no agent, representative, or employee of Tax Nation USA, except in a
specific written contract of employment signed on behalf of the organization by its CEO, has the
power to alter or vary the voluntary nature of the employment relationship.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND
AND AGREE TO ITS TERMS.
