Application for Employment

Application for Employment

Chattanooga Tent & Event Solutions
Equal access to programs, services and employment is available to all persons. Those applicants requiring a reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department. We are an equal opportunity employer.
Position applied for *
Select which location you're applying for *
Application Date *

Month Day Year
Date
Name *
First Name Middle Initial Last Name
Address *

Street Address

Street Address Line 2

City State

Zip Code
Home Phone *

Area Code Phone Number
E-mail address *
example@example.com
Cellular/Other #

Area Code Phone Number
Shift preferred *

1 2 3 Any
Expected pay *
Would you accept full-time work? *

Yes No
Would you accept part-time work? *

Yes No
On what date would you be available for work? *

Month Day Year
Date
If necessary, best time to call you is

: Hour Minutes AM/PM Option
Best number to reach you: *

Home Cellular/Other
How were you referred to our Company? *
Have you submitted an application here before? *

No
Have you been employed here before? *

No
Is this application a request for reemployment following an extended military leave of absence from our Company? *

Yes * No
* If yes, additional information may be requested.
If you are under 18 years old, can you provide a work permit if required? *

Yes No Not applicable
Are you legally eligible for employment in the United States? (If yes, proof is required if hired.) *

Yes No
Are you able to perform the “essential functions” of the job for which you are applying (with or without reasonable accommodation)? NOTE: This question is not designed to elicit information about an applicant’s disability. Please do not provide information about the existence of a disability, particular accommodation, or whether accommodation is necessary. These issues may be addressed at a later stage, to the extent permitted by law.

Yes No Need more information about the job’s “essential functions” to respond
Will you travel if required? *

Yes No
Will you work overtime if required? *

Yes No
If they have been explained to you, are you able to meet the attendance requirements of the position? *

Yes No N/A
Have you ever been bonded? *

Yes No
Please provide your driver’s license number, if driving is required for this job.

Street Address

Street Address Line 2

Driver License Number State
Have you entered into an agreement with any former employer or other party (such as a non-competition agreement) that might, in any way, restrict your ability to work for our Company? *

No
NOTE: Answering “yes” to the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.
Have you ever pleaded “guilty” or “no contest” to, or been convicted of, a crime? *

No
Employment Experience

List your most recent employer first.
Employer 1

Do Not Contact May Contact
Employer 1

Do Not Contact May Contact
Employer
Contact Name
E-mail
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Job Title
Supervisor
Start Date

Month Day Year
Date
End Date

Month Day Year
Date
Hourly rate or salary:
starting - final
Work performed
Reason for leaving
What did you like most about your position?
What were the things you liked least about the position?
Employer 2

Do Not Contact May Contact
Employer 2

Do Not Contact May Contact
Employer
Contact Name
Contact Name
E-mail
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Job Title
Supervisor
Start Date

Month Day Year
Date
End Date

Month Day Year
Date
Hourly rate or salary:
starting - final
Work performed
Reason for leaving
What did you like most about your position?
What were the things you liked least about the position?
Employer 3

Do Not Contact May Contact
Employer 3

Do Not Contact May Contact
Employer
Contact Name
Contact Name
E-mail
example@example.com
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Phone Number

Area Code Phone Number
Job Title
Supervisor
Start Date

Month Day Year
Date
End Date

Month Day Year
Date
Hourly rate or salary:
starting - final
Work performed
Reason for leaving
What did you like most about your position?
What were the things you liked least about the position?
Employment Experience

(continued)
Explain any gaps in your employment, other than those due to personal illness, injury or disability. *
Have you ever been fired or asked to resign from a job? *

No
Education Background
High School:
Location:
Did you graduate?

Yes No
Degree or diploma:
College:
Location:
Course of study:
Did you graduate?

Yes No
Degree or diploma:
Graduate School:
Location:
Course of study:
Did you graduate?

Yes No
Degree or diploma:
Vocational Training/Other:
Location:
Course of study:
Did you graduate?

Yes No
Degree or diploma:
Continuing Education:
Special Training or Skills
Languages, machine operation, etc., that would be of benefit in the job for which you are applying.
Social Security Number
The Company will make reasonable efforts to safeguard the privacy of this information and will use it only for employment purposes.
Social Security Number
References

List names and telephone numbers of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you. *

	Name	Title	Relationship to You	Telephone	E-Mail	Years Known

Applicant Statement
I certify that all the information submitted by me on this application is true and complete, and I understand that if any false or misleading information, omissions or misrepresentations are discovered, my application may be rejected, and if I am employed, my employment may be terminated at any time. If hired, I agree to conform to the Company’s rules and regulations, and I understand that these rules and/or the employee handbook do not form a contract of employment either express or implied, and I agree that my employment and compensation can be terminated, with or without cause and with or without notice, at any time, at either my or the Company’s option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice, at any time by the Company. I understand that no Company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the forgoing. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, résumé or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives for seeking, gathering and using truthful and nondefamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary for me to reapply and fill out a new application. I also understand that, if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States as required by federal immigration laws. This Company does not tolerate unlawful discrimination or harassment based on sex, race, color, religion, national origin, citizenship, age, disability, or any other protected status under applicable federal, state or local law. No question on this application is used to limit or exclude an applicant from employment consideration on any basis prohibited by applicable federal, state or local law. *
Type Full Name in Agreement
Applicant’s signature

Clear
Date *

Month Day Year
Should be Empty:

Application for Employment

Employment Experience

Employment Experience

Education Background

Special Training or Skills

Social Security Number

References

Applicant Statement