Form

Estate Solutions Employment Application

All information obtained within this application will be held in strict confidence, subject to applicable law. We will not discriminate because of sex, age, race, physical disability, religion, ethnicity, marital status, ancestry, or place of origin.
This job requires you to drive your own vehicle to and from different job-sites. We often travel up to 60 minutes from Hickory. When possible we offer carpooling but travel is a requirement of this position. If you cannot do this please DO NOT fill out this application.
Application Date*

MonthDayYear
Full Name*

First NameLast Name
Social Security Number*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Day Time Contact Phone*

Area CodePhone Number
E-mail*
Date You Are Available For Employment

MonthDayYear
What Days Are You Available to Work?

MondayTuesdayWednesdayThursdayFridaySaturday
How Many Hours Per Week Are You Interested In Working?*
Are You Legally Entitled To Work In The United States?*

YESNO
Highest level of education completed:*
Do you have a valid driver's license?*

YESNO
Type of car you drive*
License #*
WORK HISTORY / EXPERIENCE

Please list your 3 most current work history/experience
Employer's Name (Most current)
Position Held
Supervisor's Name
Telephone

Area CodePhone Number
Reason for Departure
Duties
Start Date

MonthDayYear
End Date

MonthDayYear
May we contact this employer?

YESNO
If NO, reason why not
(2) Employer's Name
Position Held
Supervisor's Name
Telephone

Area CodePhone Number
Reason for Departure
Duties
Start Date

MonthDayYear
End Date

MonthDayYear
May we contact this employer?

YESNO
If NO, reason why not
(3) Employer's Name
Position Held
Supervisor's Name
Telephone

Area CodePhone Number
Reason for Departure
Duties
Full Name

First NameLast Name
Start Date

MonthDayYear
End Date

MonthDayYear
May we contact this employer?

YESNO
If NO, reason why not
Please provide 3 work related references.
REFERENCE 1
Full Name

First NameLast Name
Relationship
E-mail
Phone Number

Area CodePhone Number
REFERENCE 2
Full Name

First NameLast Name
Relationship
E-mail
Phone Number

Area CodePhone Number
REFERENCE 3
Full Name

First NameLast Name
Relationship
E-mail
Phone Number

Area CodePhone Number
False information given or implied on an application for is grounds for immediate dismissal without further notice.

I hereby state that all information provided is accurate and may be verified by you. I agree that I may be discharged if Estate Solutions of the Catawba Valley at anytime learns of falsification or material omission in the information provided on this application form and related documents. Estate Solutions of the Catawba Valley may contact my former employers. All references are hereby authorized to release all information which they may have relevant to my employment with them. I hereby release Estate Solutions of the Catawba Valley, its affiliates, successors, and assigns, and all references from any liability that might be claimed because of information provided by such references. I agree that I will follow all Estate Solutions of the Catawba Valley policies, rules, and procedures. I understand that Estate Solutions of the Catawba Valley reserves the right to add, change, and/or delete any policies, procedures, work rules, and/or benefits at anytime. I agree to make myself available for random drug testing. I have never been convicted of a felony and I have no criminal charges pending against me. Estate Solutions of the Catawba Valley may acquire a criminal background check and drug testing prior to employment offer.
Any Other Information You Would Like To Share With Estate Solutions
Type Signature*
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Estate Solutions Employment Application

This job requires you to drive your own vehicle to and from different job-sites. We often travel up to 60 minutes from Hickory. When possible we offer carpooling but travel is a requirement of this position. If you cannot do this please DO NOT fill out this application.

WORK HISTORY / EXPERIENCE

Please provide 3 work related references.

False information given or implied on an application for is grounds for immediate dismissal without further notice.