EmailMe Form - ClearView Asset Protection, LLC

APPLICANT INFORMATION

YOUR FULL NAME *

First Last

ADDRESS *

Street Address City State / Province / Region Postal / Zip Code

CELL PHONE *

### - ### - ####

HOME PHONE

### - ### - ####

EMAIL ADDRESS *

FOR BACKGROUND CHECK

DATE OF BIRTH *

MM / DD / YYYY

GENDER

ARE YOU A U.S. CITIZEN? *

HAVE YOU EVER BEEN CONVICTED OF A CRIMINAL OFFENSE?
(FELONY OR MISDEMEANOR) *

IF YES, STATE NATURE OF THE OFFENSE

EMPLOYMENT POSITION

DATE AVAILABLE *

MM / DD / YYYY

POSITION YOU ARE APPLYING FOR *

DESIRED SALARY *

APPLYING FOR *

PART TIME

FULL TIME

WILLING TO WORK OVERTIME

WHAT DAYS AND HOURS ARE YOU AVAILABLE

HOW DID YOU HEAR ABOUT THIS POSITION

PERSONAL INFORMATION

HAVE YOU EVER APPLIED OR WORKED FOR CLEARVIEW ASSET PROTECTION IN THE PAST *

IF YES, PLEASE EXPLAIN AND INCLUDE DATE

DO YOU HAVE ANY FRIENDS OR RELATIVES THAT WORK FOR CLEARVIEW ASSET PROTECTION *

IF YES, STATE NAME AND RELATIONSHIP

IF HIRED, DO YOU HAVE EVIDENCE OF U.S. CITIZENSHIP/PROOF OF LEGAL RIGHT TO WORK IN THE U.S. *

IF HIRED, ARE YOU WILLING TO SUBMIT AND PASS A CONTROLLED SUBSTANCE TEST *

EDUCATION AND TRAINING EXPERIENCE

HIGH SCHOOL

HIGH SCHOOL NAME

HIGH SCHOOL CITY AND STATE

DID YOU GRADUATE HIGH SCHOOL

COLLEGE / UNIVERSITY

COLLEGE / UNIVERSITY NAME

COLLEGE ADDRESS

Street Address City State / Province / Region Postal / Zip Code

NUMBER OF YEARS COMPLETED

DID YOU GRADUATE

MILITARY

MILITARY BRANCH

TOTAL YEARS OF SERVICE

SKILLS AND DUTIES

RANK AT DISCHARGE

TYPE OF DISCHARGE

IF OTHER THAN HONORABLE, PLEASE EXPLAIN

PREVIOUS EMPLOYMENT

Please describe past and present employment positions, dating back five years or five jobs (whichever is greater). Please account for all periods of employment. Even if you are attaching a resume, this section must be completed!

EMPLOYER 1

NAME OF EMPLOYER

EMPLOYER ADDRESS

SUPERVISORS NAME

Phone

### - ### - ####

JOB TITLE

ENDING SALARY

DUTIES

WHAT DATES WERE YOU EMPLOYED

MAY WE CONTACT THIS EMPLOYER

WHY DID YOU LEAVE

EMPLOYER 2

NAME OF EMPLOYER

EMPLOYER ADDRESS

SUPERVISORS NAME

PHONE

### - ### - ####

JOB TITLE

ENDING SALARY

DUTIES

WHAT DATES WERE YOU EMPLOYED

MAY WE CONTACT THIS EMPLOYER

WHY DID YOU LEAVE

ADDITIONAL INFORMATION

PLEASE SELECT ANY OF THE FOLLOWING THAT YOU ARE CERTIFIED FOR

REFERENCES MAY BE ASKED DURING AN INTERVIEW. PLEASE HAVE AT LEAST THREE REFERENCES READY.

PLEASE READ ALL

Once you have read through the following information, please type your name to show that you agree. Your typed name and IP address will serve as your electronic signature. Then hit SUBMIT.

I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true & correct to the best of my knowledge and ability. I understand that any omission (including any misstatement) of material fact on this application or on any document used to secure can be grounds for rejection of application or, if I am employed by this company, terms for my immediate expulsion from the company.

I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the company.

I permit the company to examine my references, record of employment, education record, and any other information I have provided. I authorize the reference I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such examination or revelation.

TYPE YOUR FULL NAME HERE