Job Application: Childress Commercial Property, Inc.

Title: Childress Commercial Property, Inc.

Fields marked with an asterisk (*) must be filled out before submitting.

First Name *
Middle Name *
Last Name *
Email Address *
Phone Number *
Present Address (City, State, ZIP) *
Permanent Address (City, State, ZIP) *
Are you 18 Years or Older? * Yes
No
Are you either a U.S. Citizen or an alien authorized to work in the United States? * Yes
No
Employment Desired * Full-Time
Part-Time
Position *
Date You Can Start *
Salary Desired *
Are You Currently Employed? * Yes
No
If So, May We Inquire of Your Present Employer? * Yes
No
Have You Ever Applied to This Company Before? * Yes
No

EDUCATION

Grammar School (Name & Location)
High School (Name & Location)
College (Name & Location)
Trade, Business or Correspondence School (Name & Location)
Subjects or Special Study or Research Work
Special Skills
Activities (Civics, Athletic, etc.)
U.S. Military or Naval Service Yes
No
If Yes, What Was Your Rank?
Present Membership in National Guard or Reserves? Yes
No

*Notice: The Age Discrimination in Employment Act of 1987 prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age.

FORMER EMPLOYERS

Previous Employer 1
Address
From
To
Reason for Leaving
Previous Employer 2
Address
From
To
Reason for Leaving
Previous Employer 3
Address
From
To
Reason for Leaving
Previous Employer
Address
From
To
Reason for Leaving
Which of these jobs did you like best?
What did you like most about it?

REFERENCES

Name
Phone Number
Years Acquainted
Name
Phone Number
Years Acquainted
Name
Phone Number
Years Acquainted
In Case of Emergency, Contact:
Address
Phone Number
I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if employed falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have and release all parties from all liability for any damage that may result from furnishing same to you. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages, and salary, be terminated at any time without prior notice and without cause. Yes
Date
Signature