EMPLOYMENT APPLICATION
This application is designed to comply with Federal and State Fair Employment Regulations. No question should be answered in a manner which will disclose your race, color, national origin, age, marital status, sex, creed, religion, sexual orientation or the existence of any disability.
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(1) General
For what position are you applying? Real Estate Agent Date:
Approximate salary expected: (per week) (per year)
Date available to start work:
Veteran Status:
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Name Telephone Last First Middle (Area Code) Number
Current Address: How Long? City State Zip
Social Security Number
Permission to pull credit: Yes No
Have you ever been convicted of a felony or misdemeanor? Yes No (Explain on back of application if yes)
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(3) Employment History
Are you currently employed? Yes No
May we contact your current employer? Yes No
Present or Last
Employer Telephone Supervisor
Address Dates Employed: Month/Year to Month/Year
Job Title Job Responsibilities
Salary $ Reason for leaving?
Previous
(4) Education
High School Name City State Graduate? Year
College Name City State Graduate? Year
Others Name City State Graduate? Year
(5) Additional Information
Briefly outline any additional skills, knowledge, experience or other relevant qualifications for this position.
(6) Certification
I certify that the answers given by me to all of the questions on this application and any attachments are, to the best of my knowledge and belief, true and correct and that I have not willingly or knowingly withheld any pertinent facts or circumstances. I understand that any omission or misrepresentation of fact in this application may result in refusal or separation from employment upon discovery thereof. I understand that as part of the employment process the employer has the authority and privilege to investigate and to verify the information that I have provided. I understand that this Employment Application does not represent an implied or expressed offer of employment or contractual relationship with the employee.
Applicant’s Signature Date
(7) Business References:
Please list 3 references
Name: Phone:
How do they know you?
