High School

College

Graduate

Dates of Duty:

Present or Last Job

You may attach a copy of your resume in lieu of filling out this section.

Date Held:

Reference Number 1

Reference Number 2

Reference Number 3

Thank you for completing this application form and for your interest in The Odell Group. Inc., before you sign below, please read the following statements. Any attachments such as resumes or research listings become part of this form and will be treated as such.

I understand that any misstatement, omission or misleading information given in my application or interview or in connection with The Odell Group records may result in the rejection of my application, the withdrawal of any offer of employment, or my dismissal. I authorize an investigation into all such information. I agree that if this application is accepted, I will assign to the company all my rights to inventions which, during the period of my employment, I may make, either solely or jointly with others, in the course of my employment or with the use of the company's time, material, or facilities, or relating to any subject matter with which my work may be concerned, and will execute any further papers, including applications for patents, which may be necessary to obtain patents to be owned by the company. I understand that my offer of employment may be revoked if it is determined that I cannot perform the essential job functions of the position with or without a reasonable accommodation, or if providing a reasonable accommodation would impose undue hardship on The Odell Group, or if my employment would pose a direct threat of substantial harm to myself or others.