Premier Property Maintenance Employment Application

PREMIER PROPERTY MAINTENANCE

Employment Application
Applicant Information
Last*
First*
M.I.
Date of Birth*

MonthDayYear
Date
Street Address*
Apartment/Unit #
City*
ZIP Code*
Phone*
Email*
example@example.com
Date Available

MonthDayYear
Date
Desired Salary
Position Applied for
Are you a citizen of the United States?*
If no, are you authorized to work in the U.S.?
Do you have a valid driver's license?*
Driver's license #*
Have you ever been convicted of a felony? If yes, explain*
Education
High School
Address
From
To
Did you Graduate?
Diploma
Two (2) Professional References
Full Name*
Relationship*
Company*
Phone*
Address
Full Name*
Relationship*
Company*
Phone*
Address
Three (3) Personal References
Full Name
Relationship
Phone
Full Name
Relationship
Phone
Full Name
Relationship
Phone
Previous Employment
Company*
Phone*
Address
Supervisor*
Job Title
Responsibilities
Starting Salary
Ending Salary
From
To
Reason for Leaving
Company*
Phone*
Address
Supervisor*
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason for Leaving
Company
Phone
Address
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilities
From
To
Reason for Leaving
Military Service
Branch
From
To
Rank at Discharge
Type of Discharge
If other than honorable, explain
Disclaimer and Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, / understand that false or misleading information in my application or interview may result in my release.
Signature*

Clear
Date*

MonthDayYear
Date
Authorization
I authorize Premier Property Maintenance to contact my references to investigate my past employment and professional activities. I also agree to release from liability all persons and companies providing this information. I understand and acknowledge that any offer of employment is conditional upon Premier Property Maintenance being completely satisfied with the information provided as a result of this reference check.
Applicant name*
Applicant signature*

Clear
Date*

MonthDayYear
Date
Should be Empty:

PREMIER PROPERTY MAINTENANCE

Applicant Information

Education

Two (2) Professional References

Three (3) Personal References

Previous Employment

Military Service

Disclaimer and Signature

Authorization