Job Application – Avalon Home Inspections

Full Name *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

Social Security Number

Date Available

Desired Pay

Position Applied For

Employment Desired *

Full-Time
Part-Time
Seasonal

Employment Eligibility

Are You A U.S. Citizen? *

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No

*If No, Are You Allowed To Work In The U.S.?

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Have You Ever Worked For This Employer? *

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How Did You Hear About Us? *

Online Search
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If other, please explain. *

Please List Any Additional Informaton You Feel Pertains To Your Ability To Perform This Position:

Education

High School *

City/State *

From: *

To: *

Graduate? *

Yes
No

Diploma: *

College

City/State

From:

To:

Graduate?

Yes
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Degree:

Other:

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Degree/Certification

Other:

City/State

From:

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Degree/Certification

Previous Employment

Employer 1 *

Company/Individual

Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Starting Pay

Ending Pay

Job Title *

Responsibilites *

From: *

To: *

Reason For Leaving *

Employer 2

Company/Individual

Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Starting Pay

Ending Pay

Job Title

Responsibilites

From:

To:

Reason For Leaving

Employer 3

Company/Individual

Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Starting Pay

Ending Pay

Job Title

Responsibilites

From:

To:

Reason For Leaving

References

Professional Only

Full Name *

Relationship *

Company *

Email *

Full Name

Relationship

Company

Email

Full Name

Relationship

Company

Email

Military Service

Are You A Veteran?

Yes
No

Branch:

Rank at Discharge:

From:

To:

Type of Discharge:

If Not Honorable, Please Explain:

Background Check

If Asked, Are You Willing To Consent To A Background Check? *

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Disclamer

I understand that the employer follows an "employment at will" policy, in that I or the employer may terminate my employment at any time, for any reason consistent with state or federal law; this "employment at will" policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the chief operating officer of this organization. I understand that this application is not an employment contract. I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity; failure to provide such proof will result in denial of employment. I understand that the employer will thoroughly investigate my work and personal history and verify all data given on this application, on all related documents and in interviews. I authorize all individuals, schools and firms named therein, except my current employer if so noted, to provide an information requested about me, and I release them from all liability for damage in providing this information. I understand that as a condition of my employment I will be required to consent to and provide a Criminal Background Check Record as well as a Drivers/Department of Motor Vehicle Record both of which will be at my expense. I certify that all statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.

Signature *

Date Signed *

Print Name *