DMS Employment Application

Employment Application

Thank you for your interest in opportunities with De Maison Selections!

Please know that we are an Equal Opportunity Employer and are committed to excellence through diversity. Equal access to the hiring process, services, and employment is available to all individuals. Applicants requiring accommodations to the application and/or interview process should contact our Human Resource Representative.

Each question should be answered completely and accurately.

Verification of eligibility to work in the U.S. and a Background Check will be required if an employment offer is made.

Today's Date*

Date

Full Name*

First NameMiddle InitialLast Name

Phone Number*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

E-mail*

example@example.com

Are you over the age of 18?*

YesNo

Are you currently eligible to work within the United States?*

YesNo

Do you now, or in the future, require immigration sponsorship for work authorization ?*

YesNo

Have you been convicted of a crime, other than a minor traffic violation, that has not been expunged, sealed, pardoned, annulled, statutorily eradicated, or dismissed upon condition of probation? You are not required to disclose sealed or expunged records of conviction or arrest or expunged juvenile records of conviction or arrest. Note: answering yes, do not necessarily preclude you from employment as we perform individualized assessments for all applicants.*

YesNo

If so, please provide the location, date and result/outcome for each conviction:*

City, State, date and results/outcome

Have you signed or otherwise agreed to any non-solicitation, non-competition, or other similar post-employment restriction or agreement with your current or any prior employer?*

NoYes

Please explain below:*

Position you are interested in:*

How did you hear about this opportunity?*

How many hours per week are you available?*

Full time (30+ hours/week)Part time (less than 30 hours/week)

When are you available to start work? If currently employed, please note what your notice requirement is (ie: 2 weeks, 30 days, etc.):*

What are your compensation requirements? Please note that incumbents will be offered a compensation that is aligned with their qualifications and the scope of the position.

Please list your hourly or annual salary requirements

Please complete the following based on HIGHEST degree obtained:*

Professional Licenses/Certifications:

	Credential Type	Date Received	Reg. Number (f applicable)	Exp Date
1
2
3
4

Please list any additional credentials including training, and/or certifications relevant to the position you are applying.

Please be sure to complete each question in its entirety. Because resumes vary in style and content, we ask that a submitted resume not replace the completion of this applicaton.

1. Current or Most Recent Employer

Employer's Name*

Location of employer (City/State)*

city/state

Your title*

Status:*

Full-time (30+ hours/week)Part-time (less than 30 hours/week)

Supervisor's name*

First and Last Name

Phone number*

Are you currently employed here?*

YesNo

Start Date (mo/yr)*

End Date (mo/yr)*

IF you are currently employed here, may we contact this employer?*

YesNo

Reason you left or are looking for a new opportunity?*

2. Employer (Second Most Recent)

Employer's Name*

Location of employer (City/State)*

city, state

Your title*

Status:*

Full-time (30+ hours/week)Part-time (less than 30 hours/week)

Supervisor's name*

First and Last Name

Phone number*

Start Date (Mo/Yr)*

End Date Date (Mo/Yr)*

Reason for leaving?*

3. Employer (Third Most Recent)

Employer's Name*

Location of employer (City/State)*

city, state

Your title*

Supervisor's name*

First and Last Name

Phone number*

Start Date (mo/yr)*

End Date (mo/yr)*

Status:*

Full-time (30+ hours/week)Part-time (less than 30 hours/week)

Reason for leaving?*

Instructions

Please list 3 professional references that have first-hand knowledge of your professional work ethic, skills, and abilities.
No family please.
Include at least 1 direct supervisor.

1st Reference*

First NameLast Name

Your connection to this reference:*

Phone number of 1st reference*

Email*

example@example.com

2nd Reference*

First NameLast Name

Your connection to this reference:*

Phone number of 2nd reference: *

Email*

example@example.com

3rd Reference*

First NameLast Name

Your connection to this reference:*

Phone number of 3rd reference: *

Email*

example@example.com

Acknowledgement & Signature

De Maison Selections ("company"), and it's affiliates, is an equal opportunity employer. The Company does not discriminate in employment on account of race, color, religion, national origin, citizenship status, ancestry, age, sex, sexual orientation, marital status, physical or mental disability, military status or unfavorable discharge from military service.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the Company to hire me. If I am hired, I understand that either the Company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative, other than the President & CEO, has the authority to make any assurance to the contrary. I attest with my signature below that I have given true and complete information on this application. No requested information has been concealed.

I authorize the Company to contact my references, previous employers, and any educational institutions attended to verify information and obtain reference information. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

Your Signature*

Date Submitted

Date

Please upload a Current Resume here (PDFs only please)*

Employment Application

Section 1: About You

Section 2: The Position

Section 3: Your Education & Work History

Section 4: References & Acknowledgement

Thank you!