210-515-4870 info@xpertflo.com Pleasanton, TX 🇺🇸 FollowFollow Employment Application Please enable JavaScript in your browser to complete this form.Name *FirstMiddleLastSocial Security Number *Address *Address (Apartment/Unit)City *State *Zip Code *Phone *Are you 18 years or older? *YesNoAre you prevented from lawfully becoming employed in this country because of visa or immigration status? *YesNoPosition Desired *Date You Can Start *Salary Desired *Are you employed now? *YesNoIf so, may we inquire of your present employer? *YesNoEver applied to this company before? *YesNoWhere?When?Referred ByGrammar School (Name and Location) *Number of Years Attended *Did you graduate? *YesNoHigh School (Name and Location) *Number of Years Attended *Did you graduate? *YesNoCollege (Name and Location)Number of Years AttendedSubjects StudiedDid you graduate?YesNoTrade, Business or Correspondence SchoolNumber of Years AttendedSubjects StudiedDid you graduate?YesNoSubjects of Special Study or Research WorkSpecial SkillsActivites (Civic, Athletic, etc...)Exclude organizations, the name of which indicates the race, creed, sex, age, marital status, color or nation of origin of its members.U.S. Military or Naval ServiceRankPresent Membership in National Guard ReservesFormer Employer #1) *Most RecentAddress *Salary *Position *Reason for Leaving *Former Employer #2AddressSalaryReason for LeavingPositionFormer Employer #3AddressSalaryReason for LeavingFormer Employer #4AddressSalaryReason for LeavingWhich of these jobs did you like best? *What did you like most about this job? *Reference #1 *Address *Business *Years Acquainted *Reference #2 *Address *Business *Years Acquainted *Reference #3 *Address *Business *Years Acquainted *Emergency Contact *AddressPhone *I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative, other than its President, and then only when in writing and signed by the President, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing. *I certify and agreeSubmit FollowFollow
