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EMPLOYMENT AT THE STAGE

Present Address

Permanent Address

Employment Desired

Education



General

Former Employers(list below last four employers, Starting with last one first)




Reference(Give the Names of Three persons not related to you, Whom you have known at least one year)




Physical Record

In case of Emergency notify

I certify that the facts contained in this application are true and complete to the best of the knowledge and understand that, if employed, false statements in this application will be grounds for dismissal. i understand and agree that if hired, my employment is for no definite period and that either i or The Stage on Broadway may terminate my employment at any time with o without cause. I hereby authorize The Stage on Broadway to conduct background checks to determine my suitability for employment. Such background checks may include work history, criminal and financial records

BlueCross BlueShield of Tennessee creates and publishes the Machine-Readable Files on behalf of The Stage on Broadway. To link to the Machine-Readable Files, please click on the URL provided: https://www.bcbst.com/tcr. This link leads to readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.