HOLT PROPERTIES

APPLICATION FOR EMPLOYMENT

HOLT PROPERTIES IS AN EQUAL OPPORTUNITY EMPLOYER AND DOES NOT DISCRIMINATE AGAINST ANY APPLICANT BECAUSE OF HlS / HER RACE, COLOR, RELIGION, NATIONAL ORIGIN, SEX, MARITAL STATUS, AGE OR PHYSICAL HANDICAP.

Applicant Information

Full Name:

Last:   First: M.I.

Date:

E-mail Address:

Street Address:  Apartment/Unit #

City:  State:    ZIP Code: Phone:(  )

Driver's License #:

Position Applied for:

Location Applied for: 

Salary Desired:
Date Available For Work:
Days Available to Work: Mon Tue Wed Thru Fri Sat Sun        Part Time: Full Time:
HOLT PROPERTIES, INC. reserves the right to schedule as needed unless otherwise agreed upon in writing.

Are you over 18?: 
If no, are you authorized to work in the U.S.?:

Have you ever worked for this company?: 

If so, when?

Have you ever been convicted of a crime?:  

If yes, explain: 

References

Please list three professional references.

Full Name: Relationship:  

Company:  Phone:(  )

Address:   

Full Name: Relationship:  

Company:  Phone:(  )

Address:   

Previous Employment

Company:  Phone:(  )

Address:  Supervisor:  

Job Title:  Starting Salary:$ Ending Salary: $

Responsibilities: 

From: To:  Reason for Leaving: 

May we contact your previous supervisor for a reference? 

Company:  Phone:(  )

Address:  Supervisor:  

Job Title:  Starting Salary:$ Ending Salary: $

Responsibilities: 

From: To:  Reason for Leaving: 

May we contact your previous supervisor for a reference? 

 

 Disclaimer

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I Understand