DCID Employment Application

How Many Hours are You Able to Work Weekly?

Are you available to work evenings?

yesno

Are you available to work weekends?

yesno

Are you able to walk and stand for extended periods of time and work outdoors during the winter and summer months?

yesno

Employment desired:

Full-time ONLYPart-time ONLYFull OR Part Time

Name*

First NameLast Name

Email

example@example.com

Phone Number*

Relationship*

Example: Spouse, sibling, parent, friend

Do you have reliable transportation to and from work?

yesno

Do you have a driver's license?

yesno

Driver's license number

State of Issue

MOKSOther

Date of expiration

Type(s) of License

OperatorCommercial (CDL)ChauffeurOther

Current or Most Recent Employer:*

Name of Employer

Address of Current or Most Recent Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Position You held with Current/Previous Employer*

Last Position You Held:

Dates of Employment & Recent Salary or Hourly Rate*

Dates of EmploymentMost Recent Salary or Hourly Rate

Please detail your job responsibilities with your Current/Previous Employer*

Job Title and Responsibilities

How many hours did you work per week?

Reason for leaving (be specific)

Name of Immediate Supervisor of Current/Previous Employer*

Immediate Supervisor(s)

Phone Number of Immediate Supervisor of Current/Previous Employer*

Phone Number(s)

May we Contact this Employer?*

Next Recent Employer:

Name of Employer

Address of Next Recent Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Position

Last Position You Held:

Dates of Employment & Salary/Hourly Rate

Dates of EmploymentMost Recent Salary or Hourly Rate

Please detail your job responsibilities

Job Title and Responsibilities

How many hours did you work per week?

Reason for leaving (be specific)

Immediate Supervisor Name

Immediate Supervisor(s)

Contact Phone Number of Supervisor

Phone Number(s)

May we Contact this Employer?

Next Recent Employer:

Name of Employer

Address of Next Recent Employer

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Position

Last Position You Held:

Dates of Employment & Salary/Hourly Rate

Dates of EmploymentMost Recent Salary or Hourly Rate

Job Responsibilities

Job Title and Responsibilities

How many hours did you work per week?

Reason for leaving (be specific)

Immediate Supervisor Name

Immediate Supervisor(s)

Contact Phone Number of Supervisor

Phone Number(s)

May we Contact this Employer?

Name:*

First NameLast Name

Phone Number*

Years Known:*

Relationship

Example: Friend, co-worker, teacher, pastor etc.

Name:*

First NameLast Name

Phone Number*

Years Known:*

Relationship

Example: Friend, co-worker, teacher, pastor etc.

Can you provide proof of eligibility to become employed in the United States?*

If no on #1, are you able to provide such proof which will be required upon employment if you are offered a position?

If you are under the age of 18, can you provide required proof of your eligibility to work?*

Have you ever filed an application for employment with us before?*

If Yes, set forth dates of your application:

Are you currently employed?*

If currently employed and you do not wish for us to contact your employer, please set forth the reasons why:

Are you currently on layoff status and subject to recall?*

Have you ever been terminated or forced to resign from your employment with any employer?*

If yes, please explain:

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. If you wish to do so, please use the space below to provide any additional information necessary to more fully describe your qualifications for the specific position you are seeking. For example, you may wish to include:

life experiences, aptitudes and/or personality traits that you feel add to your qualifications;
experience in using equipment, machines or systems that may relate to the requirements of this job;
personal interests or hobbies that may have helped prepare you for this type of position. You may also include any other information you would like us to consider in reviewing your application.

Attach additional documentation.

Have you ever served in the Armed Forces?*

YesNo

Branch

Air ForceArmyNavyMarines

If you did serve, were you honorably discharged?*

yesno

Ethnic Background (check one)

Gender (check one)

FemaleMaleOther

In exchange for the consideration of my job application by the Downtown Community Improvement District (hereinafter called “the Company”), I agree that:

Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of the Company, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the Executive Director of the Company. Both the undersigned and the Company may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.

I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.

I also understand that

the Company has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment;
consent to and compliance with such policy is a condition of my employment;and
continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of job-related physical examinations.

I understand that, in connection with the routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.

I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminable at will for any reason by either party.

You must accept Application Form Waiver to submit the application*

Accept Policies

Employment Application

Applicant Information

The following information is requested for the DCID to conduct background checks (if necessary)

Relatives Currently or Formerly Employed with the DCID

Position Preference

Criminal History

Emergency Contact

Transportation

Employment History

References

Reference 1

Reference 2

Employment Eligibility

Other Information

Military History

Equal Employment Opportunity Information (optional)

Application Form Waiver (please read this section carefully)