Employment Application Form

PERSONAL INFORMATION
EMPLOYMENT DESIRED

DAYS/HOURS AVAILABLE TO WORK

Have you ever been convicted of a felony? (Do not identify convictions that have been sealed, expunged, dismissed, pardoned, or otherwise eradicated)

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation

EDUCATION

HIGH SCHOOL

COLLEGE/UNIVERSITY

TRADE/ BUS./CORRESPONDENCE SCHOOL

PROFESSIONAL SCHOOL

DRIVING INFORMATION

SPECIAL TRAINING/ SKILLS

An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying

PERSONAL REFERENCES

Please list two references other than relatives or previous employers.

MILITARY

EMPLOYMENT HISTORY

Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary.

Most Recent Employer

Previous Employer 2

Previous Employer 3

APPLICATION FORM WAIVER

Please read carefully.

In exchange for the consideration of my job application by Starks Homes LLC, I agree that: Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personnel manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of Starks Homes LLC, or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President /General Manager of Starks Homes LLC. Both the undersigned and may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Starks Homes LLC may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.
I authorize investigation of all statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without any previous notice. I hereby give the Starks Homes LLC permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Starks Homes LLC from any liability as a result of such contract.
I also understand that (1) the Starks Homes LLC has a drug and alcohol policy that provides for pre-employment testing as well as testing after employment; (2) consent to and compliance with such policy is a condition of my employment; and (3) continued employment is based on the successful passing of testing under such policy. I further understand that continued employment may be based on the successful passing of jobrelated physical examinations.
I understand that, in connection with the routine processing of your employment application, the Starks Homes LLC may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Starks Homes LLC, will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.
I further understand that my employment with the Starks Homes LLC shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Starks Homes LLC is terminable at will for any reason by either party.

Thank you for completing this application form and for your interest in our business.