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Application for Employment
Total Image Exteriors, LLC is an Equal Opportunity Employer. All qualified applicants will be considered without regard to age, race, color, sex, religion, national origin, marital status, ancestry, citizenship, venteran, status, sexual orientation or preference, or physical or mental disability.
Personal Information
Name:
First Name
Middle Initial
Last Name
Present Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number:
Format: (000) 000-0000.
Social Security #
General
Date of Birth
-
Month
-
Day
Year
Date
Are you legally eligible to work in the Unitied State? (PROOF OF ELIGIBILITY WILL BE REQUIRED UPON EMPLOYMENT)
Are you able to perform the essential functions of the position for which you applied with or without reasonable accomondations?
Have you ever pled gulity or been convicted of a crime? If Yes, please provide dates and details below.
Desired Employment
Position Applying for:
Date you can start:
-
Month
-
Day
Year
Date
Pay Desired:
What type of employment are you seeking?
Full-Time
Part-Time
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Education and Training
Education and Training
Rows
Location
Studies
Degree/Diploma
High School
University/Trade School
University/Trade School
Employment History
List all employment for the past 2 years, starting with the most recent position.
Employer:
Dates Employed
Employer Location
Job Title(s)
Duties & Responsibilities:
Reason for Leaving
Employer:
Dates Employed
Employer Location
Job Title(s)
Duties & Responsibilities:
Reason for Leaving
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Certification and Authorization
The above information is true and correct. I understand that, in the event of my employment by Total Image Exteriors, LLC, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery.
I authorize Total Image Exteriors, LLC to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to Total Image Exteriors, LLC and will hold Total Image Exteriors, LLC and my former employer harmless from any claim made on the basis that such information.
I understand that nothing this employment application, the granting of an interview or my subsequent employment with Total Image Exteriors, LLC is intended to create an employment contract between myself and Total Image Exteriors, LLC under which my employment will be terminable at will and may be terminated by me or Total Image Exteriors, LLC at any time and for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing.
If employed, I will be requried to provide original documents which verify my idenity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9.
I hereby acknowledge that I have read and agree to the above statements.
Signature
Date
-
Month
-
Day
Year
Date
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