phone : 281-443-2996

104 Lockhaven Dr. | Houston, TX 77073-5500

Employment

If you are interested in applying for a position with our company, please fill out our employment request form. We appreciate your interest in our company and look forward to speaking with you in the future.

APPLICATION FOR EMPLOYMENT

Pre-Employment Questionnaire Equal Opportunity Employer

DATE

PERSONAL INFORMATION

NAME (LAST, FIRST):*

PRESENT ADDRESS:*

CITY, STATE, ZIP:

PHONE NO.:*

REFERRED BY:

EMAIL:*

EMPLOYMENT DESIRED

POSITION:

DATE YOU CAN START:

SALARY DESIRED:

ARE YOU EMPLOYED? YesNo

IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?: YesNo

EVER APPLIED TO THIS
COMPANY BEFORE?
YesNo

WHERE?:

WHEN?:

EDUCATION HISTORY

NAME & LOCATION OF SCHOOL

YEARS ATTENDED

DID YOU GRADUATE?

SUBJECTS STUDIED

GENERAL INFORMATION

SUBJECT OF SPECIAL STUDY/RESEARCH WORK OR SPECIAL TRAINING/SKILLS:

U.S. MILITARY OR NAVAL SERVICE:

RANK:

HAVE YOU EVER BEEN CONVICTED OF ANY CRIME INCLUDING DRIVING WHILE UNDER THE INFLUENCE (DUI) OF ALCOHOL OR DRUGS? YesNo

DRIVERS LICENSE: STATE TYPE CURRENTLY VALID YesNo

FORMER EMPLOYERS (LIST BELOW: PREVIOUS EMPLOYERS,STARTING WITH LAST ONE FIRST)

MONTH
DATE AND YEAR

NAME & ADDRESS OF
EMPLOYER

SALARY

POSITION

REASON FOR LEAVING

REFERENCES: GIVE BELOW THE NAMES OF THREE PERSONS NOT RELATED TO YOU, WHOM YOU HAVE KNOWN AT LEAST ONE YEAR

NAME

ADDRESS

BUSINESS

YEARS KNOWN

PHONE #

AUTHORIZATION

" 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 authorized investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from any liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities act (ADA) and other relevant federal and state laws."

DATE:

NAME:

REMARKS:

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