Employment Application Form

AUTHORIZATION
BY EMPLOYMENT APPLICANT

The job you are applying for requires reliable attendance and dependable performance during the contemplated work hours. You may be asked to submit to testing for the current illegal use of drugs before or after any offer of employment is made. If a conditional offer of employment is made, you may be asked to take a medical examination or complete a medical questionnaire.

As the Applicant named stated, I authorize the Employer and/or its agents to:

1.Obtain verification of any information provided by me in this employment application and in any supplemental questionnaire, exhibit, resumé, or biographical sheet submitted by Applicant;

2.Obtain information regarding my work habits, skills, and conduct from my past and present employers, as well as listed or developed references or institutions;

3.Obtain information from all law enforcement and other governmental agencies, military authorities, and private companies concerning my conduct, including traffic and criminal violations;

4.Obtain information from educational institutions concerning my educational record, conduct, and skills; and

5.Obtain records of my employment, including income history and other information reported by employer(s) to any state employment security agency (e.g., Texas Workforce Commission). Work history information may be used only for purposes
of my prospective employment or for the employment purposes of promotion, reassignment or retention as an employee. Authority to obtain such work history information expires 365 days from the date of this application.

I further authorize all institutions, agencies, companies, or persons referred to above, to give the Employer and/or its agents all information requested. I release the Employer, its agents and all other parties from any claims, liabilities, and damages resulting from obtaining or furnishing information. A copy of this authorization and release shall be as valid as the original.

I understand that I may be asked to sign a separate authorization form prior to any testing for the current illegal use of drugs.

I understand that if I receive a conditional offer of employment, I may be asked to sign a separate authorization form prior to any medical examination.

I understand that I will be provided a separate disclosure and authorization form if the Employer elects to obtain consumer reports, including but not limited to criminal, income and work history reports, for employment purposes under the federal Fair Credit Reporting Act.

By supplying Omega Property Management with my references, I give permission to contact all the references I listed, as well as any additional contacts they may recommend.
Applicant's full name
(Please use complete names rather than initials. Show any nicknames in parentheses.)
Applicant's Signature

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Social Security Number
Driver's License Number
(or alternative identification)
State Issuing Driver's License
(or alternative identification)

CERTIFICATION
BY EMPLOYMENT APPLICANT

For purposes of this certification, the term "application" includes this employment application form and any supplemental questionnaire, exhibit, resumé, biographical sheet, or other documents submitted by Applicant.

I certify that all information given on this application and in any resumÅs and exhibits submitted to the Employer is true, correct, and complete. I have accounted for all of my work experience, training, and other information requested on this application. I have not withheld any fact or circumstance which is covered by this application.

I understand that any false, misleading, or incomplete information on this application will result in rejection of my application or termination of my employment whenever discovered.

I understand that I may be asked to take job-related written tests and skill tests (if applicable) for the position for which I am applying. If I refuse to be tested, I understand that I will not be further considered for employment.

I understand that I may be required to produce my driver's license or other identification card to verify my identity.

If I am considered for employment, I authorize any inquiry to be made about any information contained in this application. I agree to furnish additional information as may be requested, and I authorize the Employer and agencies or companies of the Employer's choice to investigate all information on this application. I authorize the Employer to use any information obtained during the investigation for all matters relating to my suitability for initial or continued employment. I release the Employer and all other parties from any claims, liabilities, and damages resulting from obtaining or furnishing such information. I understand that I will be provided a separate disclosure and authorization form if the Employer elects to obtain consumer reports, including but not limited to criminal, income and work history reports, for employment purposes under the federal Fair Credit Reporting Act.

I understand that before or after receiving any offer of employment, I may be asked to submit to testing for the current illegal use of drugs by a firm that is chosen and paid for by the Employer. I understand that the reason for such testing is that the Employer endeavors to operate its business in a safe manner for all employees, customers, tenants, visitors, and/or guests. The results of such testing will be communicated to the Employer or its agents. If I refuse to be tested, or if I produce a positive test result for the current illegal use of drugs, I understand that any offer will be withdrawn and that I will not be further considered for employment.

If I receive a conditional offer of employment, I understand that I may be asked to have a medical examination performed by a medical practitioner who is chosen and paid for by the Employer. I further understand I may be asked to complete a medical questionnaire or answer medical inquiries proposed by the Employer. The results of such examinations and/or questions will be communicated to the Employer or its agents. If I refuse to submit to a medical examination or respond to medical questions, I understand that I will not be further considered for employment.

If I am employed, I understand that I will be asked to sign a federal I-9 form and to provide documents verifying my identity and right to work in the U.S.A.

If I am employed, I understand that I must comply with the Employer's rules, procedures, and policies as modified from time to time, including any drug-free workplace policies. I understand that the job being applied for requires reliable attendance and dependable performance during the contemplated working hours. I understand that if I am employed, I may be required to work various shifts and schedules as directed by my supervisor. I understand that any employment is subject to change in wages, conditions, benefits, and operating policies. I understand that if I am employed, such employment will be for an indefinite period and can be terminated at any time by the Employer or myself, without notice and without cause.

I understand that this is an application only and that it does not constitute an offer of employment or an employment contract.
Date
Applicant's printed name
Signature

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(NOTE TO EMPLOYER: This employment application form is for use only in Texas and only by Texas Apartment Association members. Use by non-TAA members is a violation of federal copyright laws. The "blank" form may not be reproduced by any means. After a blank form is filled in and signed by an applicant for employment, the completed form may be reproduced. Use in other states is at the user's risk in that the form may or may not comply with special laws or requirements, if any, of other states. Employers are advised to keep all applications on file for at least 12 months.)

DISCLOSURE AND AUTHORIZATION REGARDING
FEDERAL FAIR CREDIT REPORTING ACT

The purpose of this disclosure and authorization is to inform you that a consumer
report under the federal Fair Credit Reporting Act may be obtained about you as part of (1) the employer's pre-employment background investigation, and (2) if you are hired, at any time during your employment with the employer for the purposes of evaluating your retention, promotion or reassignment as an employee (collectively "employment purposes"). Failure to authorize the consumer reports will result in ineligibility for employment or termination of employment.

I acknowledge receipt of this disclosure and authorize the employer and its agents to obtain consumer reports on me, including but not limited to criminal record checks, as part of the employer's pre-employment background investigation. If I am hired, this authorization shall remain valid and serve as an ongoing authorization for the employer and its agents to obtain consumer reports on me, including but not limited to criminal record checks, for employment purposes at any time during my employment.

I authorize employer to obtain records of my employment, including income history and other information reported by employer(s) to any state employment security agency (e.g., Texas Workforce Commission). Work history information may be used only for the purposes of my prospective employment or for employment purposes as an employee. Authorization to obtain such work history information expires 365 days from the date of this application.

I release the employer and its agents from any and all claims, damages and liabilities from obtaining and utilizing information about me pursuant to this authorization. This release does not affect my rights under the Fair Credit Reporting Act.
Signature

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Printed name of applicant/employeeDate

EMPLOYER CHECKLIST FOR CONSUMER REPORTS
UNDER THE FEDERAL FAIR CREDIT REPORTING ACT

1. If you as an employer want to obtain a consumer report for employment purposes (including hiring), give the applicant the Fair Credit Reporting Act (FCRA) disclosure and authorization form included with the TAA Employment Application.

2. Obtain the applicant's written authorization for an FCRA consumer report by having the applicant sign the disclosure and authorization form.

3. Once the disclosure and authorization form is signed, you may obtain the consumer report on the applicant.

4. Before taking an adverse employment action (such as rejection of the applicant or termination of an employee) based in whole or in part on information contained in the consumer report, provide the applicant or employee with:
- Written notice of the potential adverse action
- A copy of the consumer report
- A copy of the FTC notice of consumer rights in the proper format (included in the TAA Employment Application packet), and
- A reasonable opportunity to respond to the consumer report (generally five business days).
5. If an adverse employment action is taken against an applicant or employee based in whole or in part on information contained in the consumer report, provide the applicant or employee with:
- Verbal, written or electronic notice of the adverse employment action
- The name, address and telephone number of the consumer reporting agency that furnished the report
- A statement that the consumer reporting agency did not make the adverse employment decision and is unable to explain the specific reasons for the decision
- Notice of the applicant's or employee's ability to obtain a free consumer report, and
- Notice of the applicant's or employee's ability to dispute inaccurate information.
6. If you have questions regarding the requirements for obtaining or using a consumer report for employment purposes, check with the Federal Trade Commission or with the consumer reporting agency from which you will obtain the report before taking any action.
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