Application For Employment

ALLEY DESIGN TO BUILD INC EMPLOYMENT APPLICATION
EMPLOYMENT APPLICATION
PLEASE PRINT OR TYPE Todays Date
First Name
MI
Last Name
Preferred Name/Nickname
Street Address
Apt #
City
State
Zip Code
Home Phone
Alternate/Work Phone
Email Address
PLEASE PLACE A CHECK BY YOUR RESPONSE OR PROVIDE THE APPROPRIATE INFORMATION Are you interested in: What schedule would you prefer? How did you hear about the position? Weekdays Full Time Weekends Friend (Name) Part Time Evenings Radio Temporary Nights Internet
Classified Ad
$
Desired Pay:
Hourly Pay
(Minimum, if applicable)
Annual Pay Date:
$ Minimum
$ Desired
When are you able to start work? In what local area do you prefer to work? Position desired:
PLEASE CHECK YES OR NO TO THE FOLLOWING:
Are you authorized to work in the United States?
Yes
No
Federal law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with these laws, Alley Design To Build Inc. will verify the status of every individual offered employment with the Company. In this connection, all offers of employment are subject to verification of the applicants identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization. Are you under 18 years of age? If yes, can you furnish a work permit? Yes Yes No No
ALLEY DESIGN TO BUILD INC. is an equal opportunity employer and does not discriminate against any applicant or employee because of race, color, religion, sex, national origin, disability, age, or military or veteran status in accordance with federal law. In addition, ALLEY DESIGN TO BUILD INC. complies with applicable state and local laws governing non-discrimination in employment in every jurisdiction in which it maintains facilities. ALLEY DESIGN TO BUILD INCE. also provides reasonable accommodation to qualified individuals with disabilities in accordance with applicable laws.
ALLEY DESIGN TO BUILD INC. EMPLOYMENT APPLICATION

Are you capable of performing the essential functions of the job for which you are applying with or without a reasonable accommodation?
Yes
No
PLEASE LIST YOUR WORK EXPERIENCE BELOW (MOST RECENT JOB FIRST)
You may include any verified work performed on a volunteer basis.
COMPANY NAME YOUR POSITION and TITLE
FROM
NO. & STREET
SUPERVISORS NAME, TITLE and POSITION
/ Month Year
CITY STATE ZIP CODE SUPERVISORS TELEPHONE NUMBER
TYPE OF BUSINESS
STARTING PAY
FINAL PAY
$
TO TELEPHONE NUMBER TERMINATION
$
REASON
/ Month Year
VOLUNTARY INVOLUNTARY
BRIEFLY DESCRIBE YOUR MAJOR DUTIES AND REASON(S) FOR TERMINATION
COMPANY NAME
YOUR POSITION and TITLE
FROM
NO. & STREET
/ Month Year
TYPE OF BUSINESS
STARTING PAY
FINAL PAY
$
$
REASON
/ Month Year

COMPANY NAME YOUR POSITION and TITLE
FROM
NO. & STREET
/ Month Year
TYPE OF BUSINESS
STARTING PAY
FINAL PAY
$
$
REASON
/ Month Year
COMPANY NAME
YOUR POSITION and TITLE
FROM
NO. & STREET
/ Month Year
TYPE OF BUSINESS
STARTING PAY
FINAL PAY
$
$
REASON
/ Month Year

ADDITIONAL INFORMATION:
UNEMPLOYMENT ACCOUNT FOR ALL PERIODS OF TIME, THREE MONTHS OR MORE, BETWEEN POSITIONS HELD OR AFTER SCHOOL
TO HOW DID YOU SPEND THIS TIME?
FROM
MM FROM MM
DD
YYYY
MM TO
DD
YYYY HOW DID YOU SPEND THIS TIME?
DD
YYYY
MM
DD
YYYY
EDUCATION:
NAME AND ADDRESS OF SCHOOL MAJOR SUBJECT DID YOU GRADUATE? TYPE OF DEGREE OR DIPLOMA
HIGH SCHOOL OR PREP
COLLEGE
COLLEGE OR GRADUATE
OTHER
PROFESSIONAL DESIGNATIONS:
DESIGNATION ORGANIZATION GRANTING DESIGNATION DATE COMPLETED
DESIGNATION
ORGANIZATION GRANTING DESIGNATION
DATE COMPLETED
PROFESSIONAL LICENSES:
TYPE OF LICENSE STATE GRANTING LICENSE LICENSE NUMBER
TYPE OF LICENSE
STATE GRANTING LICENSE
LICENSE NUMBER

REFERENCES: Please list three professional references NAME RELATIONSHIP COMPANY PHONE/ALTERNATE PHONE
PLEASE READ CAREFULLY BEFORE SIGNING APPLICATION
I have submitted the attached form to the company for the purpose of obtaining employment. I acknowledge that the use of this form, and my filling it out, does not indicate that any positions are open, nor does it obligate the company to further process my application. My signature below attests to the fact that the information that I have provided on my application, resume, given verbally, or provided in any other materials, is true and complete to the best of my knowledge and also constitutes authority to verify any and all information submitted on this application. I understand that any misrepresentation or omission of any fact in my application, resume or any other materials, or during any interviews, can be justification for refusal of employment, or, if employed, termination from the Companys employ. I also affirm that I have not signed any kind of restrictive document creating any obligation to any former employer that would restrict my acceptance of employment with the Company in the position I am seeking. I understand that this application is not an employment contract for any specific length of time between the Company and me, and that in the event I am hired, my employment will be at will and either the Company or I can terminate my employment with or without cause and with or without notice at any time. Nothing contained in any handbook, manual, policy and the like, distributed by the Company to its employees is intended to or can create an employment contract, an offer of employment or any obligation on the Companys part. The Company may, at its sole discretion, hold in abeya nce or revoke, amend or modify, abridge or change any benefit, policy practice, condition or process affecting its employees. References: I hereby authorize the company and its agents to make such investigations and inquiries into my employment and educational history and other related matters as may be necessary in arriving at an employment decision. I hereby release employers, schools, and other persons from all liability in responding to inquires connected with my application and I specifically authorize the release of information by any schools, businesses, individuals, services or other entities listed by me in this form. Furthermore, I authorize the company and its agents to release any reference information to clients who request such information for purposes of evaluating my credentials and qualifications.
SIGNED:
DATE:

Application For Employment

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ALLEY DESIGN TO BUILD INC EMPLOYMENT APPLICATION

Annual Pay Date:

PLEASE CHECK YES OR NO TO THE FOLLOWING:

Are you authorized to work in the United States?

ALLEY DESIGN TO BUILD INC. EMPLOYMENT APPLICATION

NO. & STREET

SUPERVISORS NAME, TITLE and POSITION

BRIEFLY DESCRIBE YOUR MAJOR DUTIES AND REASON(S) FOR TERMINATION

YOUR POSITION and TITLE

NO. & STREET

SUPERVISORS NAME, TITLE and POSITION

BRIEFLY DESCRIBE YOUR MAJOR DUTIES AND REASON(S) FOR TERMINATION

ALLEY DESIGN TO BUILD INC. EMPLOYMENT APPLICATION

NO. & STREET

SUPERVISORS NAME, TITLE and POSITION

BRIEFLY DESCRIBE YOUR MAJOR DUTIES AND REASON(S) FOR TERMINATION

YOUR POSITION and TITLE

NO. & STREET

SUPERVISORS NAME, TITLE and POSITION

BRIEFLY DESCRIBE YOUR MAJOR DUTIES AND REASON(S) FOR TERMINATION

ALLEY DESIGN TO BUILD INC. EMPLOYMENT APPLICATION

YYYY HOW DID YOU SPEND THIS TIME?

HIGH SCHOOL OR PREP

ORGANIZATION GRANTING DESIGNATION

STATE GRANTING LICENSE

ALLEY DESIGN TO BUILD INC. EMPLOYMENT APPLICATION

PLEASE READ CAREFULLY BEFORE SIGNING APPLICATION

ALLEY DESIGN TO BUILD INC. EMPLOYMENT APPLICATION

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