ADS_Employment_Application_Form

27255 Katy Freeway | Katy, Tx 77494 | Tel: 281.392.2828 | Fax: 281.392.7446 | www.AdDisplaySigns.
com
Application for Employment

It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, or any other protected classification.
Name: ____________________________________________________________________________________
First Middle Last
Address: __________________________________________________________________________________
Street City State Zip
Primary Phone: ___________________________ Secondary Phone: _______________________________
• Are you over 18 years old? q Yes q No
• Are you authorized to work in the U.S. on an unrestricted basis? q Yes q No
• Have you been told the essential functions of the job or have you been
q Yes q No
shown a copy of the job description listing the essential functions of the job?
• Can you perform these essential functions without reasonable accommodation? q Yes q No
If no, please note why: ____________________________________________________
• Do you prefer to work: q Part Time q Full Time
If you have preferred work hours, note them here: __________________________________________
• Are there any standard business hours, shifts or days you cannot or will not work? q Yes q No
If Yes, Please note when: ____________________________________

• Are you willing to work overtime as required? q Yes q No
• Have you ever been convicted of a felony? q Yes q No

(Conviction will not necessarily disqualify an applicant for employment)
If Yes, please describe conditions: ______________________________________________________________
_________________________________________________________________________________________
• Do you have a valid drivers license? q Yes q No
• Have you received any tickets for driving violations in the past 3 years q Yes q No
If yes, please describe:________________________________________________________________________
__________________________________________________________________________________________
Education Name & Location Year Graduated Major Graduated? (Y/N)
High School
College/University
College/University
Other Training/
Education
In addition to your work history (reverse side), what other experience, skills, or qualifications would especially fit you
for work with our company?
__________________________________________________________________________________________
27255 Katy Freeway | Katy, Tx 77494 | Tel: 281.392.2828 | Fax: 281.392.7446 | www.AdDisplaySigns.com
POSITION(S) APPLIED FOR:

1) __________________________________________2) ___________________________________________
Wage or salary desired? $ _____________________ What date can you start?_________________________
WORK HISTORY - May we contact your present employer? q Yes q No

1) Description of Duties
Previous Employer Address Telephone
Date Started Starting Salary: $ Per Starting Position
Date Left: Salary on leaving: $ Per Position Leaving
Name & Title of Supervisor:
2) Past Job Duties: Reason for Leaving
Previous Employer Address Telephone
Past Job Duties: Reason for Leaving
3) Previous Employer Address Telephone
APPLICANTS CERTIFICATION AND AGREEMENT

I certify that the facts set fort in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am em-
ployed, false statements, omissions, or misrepresentation may result in my dismissal. I authorize the Company to make an investigation of any of the
facts set forth in this application and release from any liability both the Company and those who supply reference information.
I understand that employment at this Company is at will, which means that either I or the Company can terminate the employment relationship at any
time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis.
I understand that no supervisor, manager or executive of the company, other than the president has the authority to alter the foregoing.
Date: ________________ Applicants Signature: ________________________________________________

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27255 Katy Freeway | Katy, Tx 77494 | Tel: 281.392.2828 | Fax: 281.392.7446 | www.AdDisplaySigns.

Application for Employment

Primary Phone: ___________________________ Secondary Phone: _______________________________

• Are you over 18 years old? q Yes q No

• Are you authorized to work in the U.S. on an unrestricted basis? q Yes q No

• Have you ever been convicted of a felony? q Yes q No

POSITION(S) APPLIED FOR:

WORK HISTORY - May we contact your present employer? q Yes q No

Previous Employer Address Telephone

Date Started Starting Salary: $ Per Starting Position

Date Left: Salary on leaving: $ Per Position Leaving

Name & Title of Supervisor:

2) Past Job Duties: Reason for Leaving

Previous Employer Address Telephone

Date Started Starting Salary: $ Per Starting Position

Date Left: Salary on leaving: $ Per Position Leaving

Name & Title of Supervisor:

Past Job Duties: Reason for Leaving

3) Previous Employer Address Telephone

Date Started Starting Salary: $ Per Starting Position

Date Left: Salary on leaving: $ Per Position Leaving

Name & Title of Supervisor:

APPLICANTS CERTIFICATION AND AGREEMENT

Date: ________________ Applicants Signature: ________________________________________________

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Primary Phone: _ Secondary Phone: _____

Date: Applicants Signature: ________________________________