Employment Application — Mountainside Villas

Name

First Name

Last Name

Full Middle Name

Employment Information

Position(s) applied for:

Referral Source

Friend

Relative

Walk-In

Employment Agency

Other

I desire to work:

Full Time

Part Time

Temporary

Message

I prefer to work what shift(s)?

Day

Night

Any shift

On what date are you available to start work?

YYYY

Are you employed now?

Yes

If yes, may we contact your current employer?

Yes

Do you plan to work another job?

Yes

If you plan to work another job, what hours do you plan to work there?

Have you ever applied for a job here before?

Yes

If you have applied to work here before, when did you apply?

Show age if less than 21

If under 18, can you furnish a work permit?

Yes

Are you legally able to work in the United States?

Note: You will be required to show proof of this within three (3) days of hiring on a Form I-9

Yes

If you are not a U.S. Citizen, do you have an alien registration card?

Yes

Alien registration card number, if applicable

Do you have a current, valid driver's license?

Some positions may call for the regular use of company vehicles

Yes

Driver's license state, if applicable

Have you been convicted of any moving violations in the last five (5) years?

Yes

If yes, please explain

Have you ever been convicted of a felony?

Conviction of a felony will not prevent you from being eligible for employment

Yes

Please describe any convictions

Personal Information

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Education / Training

High School

Years Completed

Diploma/Degree

Course of Study, Specializations, Extra-Curricular Activities, etc.

Describe any course of study or specializations acquired

College/University

Years Completed

Diploma/Degree

Course of Study, Specializations, Extra-Curricular Activities, etc.

Describe any course of study or specializations acquired

Graduate/Professional

Years Completed

Diploma/Degree

Course of Study, Specializations, Extra-Curricular Activities, etc.

Describe any course of study or specializations acquired

Honors or other awards received

Are you a veteran of U.S. Military service?

Yes

If yes, what branch?

Thank you for your service

Are you physically or otherwise unable to perform the duties of the job for which you are applying?

Yes

If yes, please explain

Are there workplace accommodations which would assure better job placement and/or enable you to perform your job to your maximum capability?

Yes

If yes, please describe

List professional, trade, business, or civic activities and offices held. You may exclude any which may indicate race, color, religion, sex, or national origin

Employment Experience

Current or most recent employer

Name, City, State

Address and phone

Job Title

Supervisor Name

Dates employed

Wage/Salary

Work/Duties Performed

Reason for leaving, notes

Former Employer

Name, City, State

Address and phone

Job Title

Supervisor Name

Dates employed

Wage/Salary

Work / Duties performed

Reason for leaving, notes

Former Employer

Address and phone

Job Title

Supervisor Name

Dates Employed

Wage / Salary

Work / Duties performed

Reason for leaving, notes

Special Skills and Qualifications

Summarize any special skills and qualifications that you acquired from employment or other experience

Applicant's Statement

I certify that answer given on this application are true and complete to the best of my knowledge. I authorize Mountainside Villas Owners Association, and/or its agents, including consumer reporting bureaus, to verify all statements provided on this application for employment, including but not limited to criminal history and motor vehicle driving records, as may be necessary in arriving at an employment decision. I hereby authorize all persons, schools, companies and law enforcement officials to release information concerning my background and do hereby release all parties from liability for any damage that may result from furnishing this information. I understand that Mountainside Villas Owners Association maintains a drug-free workplace, and that I may be subjected to pre-employment screening for drugs and alcohol. By my signature below, I certify my understanding and acknowledgement that, unless otherwise defined by applicable law, any employment relationship with this organization is of an at-will nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this at-will employment relationship may not be changed by any written document or by conduct unless an authorized executive specifically acknowledges such change in writing. In the event of employment, I understand that false or misleading information given in this application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

Work @Mountainside