Employment Application

It is the policy and intent Executive Image to provide equal opportunity in employment for all persons. This policy prohibits discrimination on the basis of race, color, religion, national origin, political affiliation, disability, marital status, sex, sexual orientation, or age. This policy applies to all phases of employment. No question on this application is intended to secure information to be used for such discrimination.

First Name *

Last Name *

Email

Phone *

Street Address *

Address Line 2

City *

State

Zip Code *

Are you 18 or older? *

YesNo

Are you either a United States citizen or an Alien authorized to work in the United States? *

YesNo

Have you ever been employed by an Executive Image company?

YesNo

How did you hear about us?

Position Desired

Desired Pay

Date Available

Do you prefer *

How many hours per week would you like to work?

Please describe your availability *

Can you work weekends? *

YesNo

Have you ever been fired from a job? *

YesNo

What skills or abilities do you possess that you feel will help you in the position for which you are applying? *

Please list two (2) Work or Professional References that we may contact.

Reference #1

First Name *

Last Name *

Company or Relationship *

Phone *

Reference #2

First Name *

Last Name *

Company or Relationship *

Phone *

Please list two (2) Personal References that we may contact.

Personal Reference #1

First Name *

Last Name *

Years Known *

Relationship *

Phone *

Personal Reference #2

First Name *

Last Name *

Years Known *

Relationship *

Phone *

Read the statement below: “I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that if I am employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references 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 all parties from all liability for any damage that may result from furnishing same to you. I authorize investigation of criminal and educational information. If required, I understand that I will undergo drug testing. I understand and agree that, if hired, my employment is for no definite period, regardless of the date of payment of my wages and salary, I may be terminated at any time without any prior notice. I further agree to not solicit or accept a contract or employment with any current customers or previous customers of Executive Image. I will abide by all company safety rules, policies, and procedures or be subject to disciplinary procedure including immediate termination.

Signature *Sign by typing your Full Name

Feel free to attach a cover letter

Feel free to attach a résumé

Executive Image Employment Application

Personal Information

Employment Desired

Work/Professional References

Personal References

Verification

Building Services