Application for New Employment
An Equal Opportunity Employer
Employee Full Name
*
First Name
Middle Initial
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Driver License Number
*
Number
Driver's License State
State
Name as Shown on Driver's License
Name
Social Security Number
*
Enter without dashes
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
WORK EXPERIENCE
*Provide your last five (5) years of employment with Most Recent job first
Employer Name
*
Employment Start & End Date
*
Job Title
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Starting Pay
*
Ending Pay
*
Reason for leaving:
*
Please describe what you did in this role?
*
Would you like to add another employer?
*
Yes
No
Employer Name
Employment Start & End Date
Job Title
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Starting Pay
Ending Pay
Reason for leaving:
Please describe what you did in this role?
Would you like to add another employer?
Yes
No
Employer Name
Employment Start & End Date
Job Title
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Starting Pay
Ending Pay
Reason for leaving:
Please describe what you did in this role?
Are you applying for a Leasing Office or Maintenance position?
*
Property Office
Maintenance
State of Position Applied
*
Missouri
Kansas
New Mexico
California
Illinois
Title of position you are applying for?
*
Full Time or Part Time?
*
Full Time
Part Time
Available Starting Date
*
/
Month
/
Day
Year
Date
Are you willing to work overtime?
*
Yes
No
Are you at least 18 years old?
*
Yes
No
If not, can you provide a valid Work Permit, high school diploma, or equivalent?
Yes
No
Upload Work Permit, Diploma, or Equivalent
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What Language(s) do you speak, read, or write fluently?
*
If hired, can you verify that you have the legal right to work in the United States?
*
Yes
No
List any special skills, training, certifications, or experience which may help you qualify for this job.
Do you have reliable means of transportation to get to work?
*
Yes
No
Are there any times during the week that you are not available to work?
*
Yes
No
If yes, please explain below.
Do any of your relatives work for Landmark Realty?
*
Yes
No
Name of Relative
Have you ever worked for Landmark Realty before?
*
Yes
No
When?
-
Month
-
Day
Year
Date
How did you hear about this job opening?
*
Indeed.com
LinkedIn
Facebook
Craigslist
Employee Referral
Other
Name of Employee
Other:
What is your desired salary?
*
EDUCATION INFORMATION
Please answer the following questions
Highest Form of Education
*
High School Diploma
Some College
Associate's Degree
Bachelor's Degree
Master's Degree
Name of High School
Name of College
Name of University
School Location or Address
Degree Received
Major
PROFESSIONAL REFERENCES
Please provide three (3) professional references
Reference 1
First Name
Last Name
Title/Relationship
Company
Phone Number
Reference 2
First Name
Last Name
Title/Relationship
Company
Phone Number
Reference 3
First Name
Last Name
Title/Relationship
Company
Phone Number
CERTIFICATION AND ACKNOWLEDGEMENT
*
I certify that all answers given herein are true and complete to the best of my knowledge. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
Authorization: By signing below, you authorize: (a)DirectScreening.com to request information about you from any public or private information source; (b) anyone to provide information about you to DirectScreening.com; (c) DirectScreening.com to provide us, Landmark Realty, one or more reports based on that information; and (d) to share those reports with others for legitimate business purposes related to your employment. DirectScreening.com may investigate your criminal record, address history, social security number validity, criminal record, driving record and any other information with public or private information sources. You acknowledge that a fax, image, email or copy of this authorization is as valid as the original. You make this authorization to be valid for as long as you are an applicant or employee with us.
Applicant's Signature
*
Date
*
-
Month
-
Day
Year
Date
Resume Upload
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Government Issued Identification
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Driver's License or Passport
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