Marcrum Management Company

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Applications


Application for employment.

Enter the date of Application.

Please provide the following information:

Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Home Phone
E-mail
URL
Date of birth -- mm/dd/yy

Social Security Number

###-##-####

Drivers License.#     State Issued

       

Salary/Compensation Desired


Enter the date available to start

-- mm/dd/yy

Choose any of the following positions you are applying for
To select more than one, hold the "Ctrl" button down as you click on each selection


If other please specify


Have you ever applied with us before?

Yes No

If yes, when and where?


What state are you interested in?

Alabama
California
Colorado
Kansas
Louisiana
Mississippi
New Mexico
South Dakota
Texas
Any State

Are you applying for a specific property?  Which one?


Please list your last three former employers. Include dates worked, name, address, position, and reason for leaving.


Please list 3 references. Give the names of three persons not related to you, whom you have known at least one year. Please include name, address, telephone and years acquainted.


Person to contact in case of emergency: Please list name, address and telephone.


Educational Data


Were you in the U.S. Armed Forces?

Yes No

If yes, please list the branch of service, length of service and rank at discharge.


Have you ever been convicted of or pled guilty to a felony, misdemeanor, or any other crime?

Yes No

A conviction will not automatically disqualify you from being considered as a candidate for employment. If "yes," please explain.


AS AN APPLICANT YOU AGREE TO AND UNDERSTAND THE FOLLOWING: I hereby affirm that the information provided in this application is true and complete to the best of my knowledge. I also agree that falsified information or significant omissions may disqualify me and may be considered sufficient justification for dismissal if discovered at a later date. I authorize a thorough investigation and agree to cooperate in such investigation, of my past employment and activities. I agree to release, from all liabilities or responsibilities, all persons and corporations requesting or supplying such information. I further authorize any physician or hospital to release any information which may be necessary to determine my ability to perform the job for which I am being considered or any future job in the event that I am hired. I understand that if employed, my employment is for no definite period of time and that I may terminate my employment relationship with the company at any time, for any reason, and that the company has the same right. I also understand that no management official other the the president of the company has any authority to enter into any agreement contrary to the foregoing to make my assurance or promise of continued employment.  If employment is obtained under this application, I will comply with all rules and regulations of the company. I agree to be responsible for company property and equipment issued to me by the company until returned to the company. I hereby agree to submit to any lawful drug, alcohol, or integrity testing that may be required as a condition of employment or continued employment and understand that refusal to submit to testing during the course of my employment may result in disciplinary action, up to and including termination. I understand that according to federal law all individuals must, as a condition of employment, produce certain documentation to verify their identity as a U.S. citizen or, if aliens, their legal authorization to work in the U.S.A. As a result, I understand that any offer of employment would be contingent upon my ability to produce the required documentation within the time period required by law.

I Agree

AS AN APPLICATION YOU AGREE TO AND UNDERSTAND THE FOLLOWING: You are desiring to obtain employment with this company, hereby consent to and authorize this company to obtain, verify and exchange information on any reports concerning me as are maintained by, but not limited to City, County, State, Federal Law Enforcement Agencies, Education Institutions, Credit Reporting Agencies, present and/or past employers including by not limited to present and/or past salary verification, present and/or past residences. I understand that any information obtained may be considered by this company as a factor in decisions they make, with respect to the employment for which I am applying. Furthermore, I hereby release and hold harmless this company and any agents, owners and affiliates of this company, but not limited to their officers, directors, and employees. I also release and hold harmless Law Enforcement Agencies, Educational Institutions, Credit Reporting Agencies, as well as present and/or past employers that shall provide information to this company, upon request, from and against any and all claims, demand, suits or expenses arising from or related to the consent, validity or handling of said reports.

I Agree

 


Last revised: January 29, 2005
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Copyright © 2001 -2005 Marcrum Management Company
Last modified:  January 29, 2005 02:00 PM

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