Apply - Valentine’s Building Services

Position (s) applied for or type of work desired:

Type of employment desired:

Temporary Part-time Full-time

Date you will be able to start work:

Drivers license # (if driving is an essential job duty):

Are you able to meet the attendance requirements?

Yes No

Do you have any objections to working overtime if necessary?

Yes No

Can you travel if required by this position?

Yes No

Have you ever been previously employed by our organization?

Yes No

Can you submit proof of legal employment authorization?

Yes No

If you are under 18, can you furnish a work permit if it is required?

Yes No

Have you ever been convicted of a crime in the last 7 years?

Yes No

If yes, please explain (a conviction will not automatically bar employment):

EMPLOYMENT HISTORY

Please provide all employment information for your past three employers starting with the most recent.

Immediate supervisor and title:

Dates employed: From > To

Immediate supervisor and title:

Dates employed: From > To

Immediate supervisor and title:

Dates employed: From > To

How many jobs have you had in the last 10 years that are not listed above?

Why are you seeking a new position at this time?

OTHER SKILLS AND QUALIFICATIONS

Summarize any job-related training, skills, licenses, certificates and/or other qualifications?

EDUCATION HISTORY

List school name and location, years completed, course of study, and any degrees earned.

I hereby authorize the potential employer to contact, obtain and verify the accuracy of information contained in this application from all previous employers and educational institutions. I also hereby release from liability the potential employer and its representatives for seeking gathering and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either the employer or I can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that persons need for a reasonable accommodation as required by the ADA.

I also understand that if I am employed I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

I represent and warrant that I have read and fully understand the foregoing and that I seek employment under these conditions.

Application for Employment