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Career Center Employment Application
Please complete the form below. Mandatory fields marked
*
Application for Employment Form
Today's Date
*
Type of Work
Full Time
Part Time
Temporary
Position Applied For
*
Desired Salary
*
Date Available
*
Personal
First Name
*
Last Name
*
Social Security #
*
Address
*
Apartment/Suite#
*
City
*
State
*
Zip
*
Telephone Phone #
*
Mobile Phone #
*
Emergency Phone #
*
Emergency Contact
Email
*
Are you legally eligible for employment in the U.S.A.? Yes
No
Do you have steady transportation to work? Yes
No
Are you licensed to drive a car? Yes
No
Is license valid in this state? Yes
No
If you are under 18, and it is required, can you furnish a work permit? Yes
No
Will you work overtime if required? Yes
No
Are you willing to relocate? Yes
No
Have you ever been employed by us? Yes
No
If yes,When
Where
List any friends or relatives working for us:
Name
Relationship
Location
Are you currently subject to a non-compete agreement? Yes
No
Are you currently subject to a confidentiality agreement? Yes
No
Have you ever been convicted of a crime including guilty pleas, deferred adjudications, or nolo contendere? Yes
No
If yes, was it a felony? Yes
No
If yes, explain
Note:
A conviction will not necessarily be a bar to employment; each instance and explanation will be considered in relation to the position for which you are applying.
Education
Highschool
Graduated? Yes
No
Courses Studied
College
Graduated? Yes
No
Degree In
Special courses or other training: Yes
No
Trade Schools
Business Schools
Previous Employment
Name of Company
Address
Apartment/Suite#
City
State
Zip
Phone #
Type of Business
Title
Name of Supervisor
Employed From(Date)
Employed To(Date)
Name of Supervisor
Pay:
Starting
Ending
If Paid Commission/and or Bonus:
Prior six-month total compensation
Describe Work Duties
Reasons For Leaving
Voluntary leave? Yes
No
Name of Company
Address
Apartment/Suite#
City
State
Zip
Phone #
Type of Business
Title
Name of Supervisor
Employed From(Date)
Employed To(Date)
Name of Supervisor
Pay:
Starting
Ending
If Paid Commission/and or Bonus:
Prior six-month total compensation
Describe Work Duties
Reasons For Leaving
Voluntary leave? Yes
No
Name of Company
Address
Apartment/Suite#
City
State
Zip
Phone #
Type of Business
Title
Name of Supervisor
Employed From(Date)
Employed To(Date)
Name of Supervisor
Pay:
Starting
Ending
If Paid Commission/and or Bonus:
Prior six-month total compensation
Describe Work Duties
Reasons For Leaving
Voluntary leave? Yes
No
References
Name
Address
Apartment/Suite#
City
State
Zip
Telephone Phone #
Years Known
Relationship
Name
Address
Apartment/Suite#
City
State
Zip
Telephone Phone #
Years Known
Relationship
Name
Address
Apartment/Suite#
City
State
Zip
Telephone Phone #
Years Known
Relationship
Langauge Skills
Languages (spoken, written, or read.)
Skills and Qualifications
Summarize any training, skills, licenses, and/or certifications that may qualify you as being able to perform job-related functions in the position for which you are applying.
Term And Conditions
I hereby authorize the company to investigate my references and to make an independent investigation of my character, conduct, and employment records, and to keep and reserve records of such investigations. I agree that failure to reveal any prior employers, or giving of any false or misleading information by me will be grounds for termination of my employment. If employment is obtained under this application, I will comply with all rules and regulations of this company. I understand that this employment application is not a contract and that it contains no representation of future or continued employment. Should American Homestar Corporation hire me, I understand that my employment may be terminated at any time, with or without cause, with or without notice, at the option of either the Company or myself. I understand that this application is active for 30 days. I understand that no manager or representative of the Company, other than an Officer of the Company, has any authority to enter into any agreement for employment for any specified period of time, or make any agreement contrary to foregoing. Since my employment may require entering customer homes, I hereby authorize American Homestar Corporation to run a background check through the Texas Department of Public Safety or any other authorized screening company the Company should choose. I hereby give my permission to American Homestar Corporation and the laboratory it has selected to conduct urine tests required for drug screening as a condition of employment. I acknowledge that if American Homestar Corporation offers me employment, the offer is contingent upon my passing a test for the presence of illegal drugs. Furthermore, I understand that at any time during employment with American Homestar Corporation, I may be asked to take another drug test. Under State Law an employer may not require or demand any applicant for employment or prospective employment or any employee to submit to or take polygraph, lie detector or similar test or examination as a condition of employment. Any employer who violates this provision is guilty of misdemeanor and subject to a fine not to exceed $100.00.
I Agree with the Terms and Conditions
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