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Contact us at careers@yatesmaintenance.com with any questions about the application process.

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Applicant Information

Last Name:

First Name:

MI:

Date:

Street Address:

Apartment/Unit:

City:

State:

Zip:

Phone:

Email:

Date Available:

Desired Salary:

Position Applying For:

Are you a citizen of the United States? Yes No

If not, are you authorized to work in the U.S.? Yes No

Have you ever worked for this company?
Yes No

If so, when?

Have you ever been convicted of a felony?
Yes No

If yes, explain:

Education

Highschool:

Address:

Attended From:

To:

Did you graduate?
Yes No

Degree:

College:

Address:

Attended From:

To:

Did you graduate?
Yes No

Degree:

Other:

Address:

Attended From:

To:

Did you graduate?
Yes No

Degree:

References

Please list three professional references.

Full Name:

Relationship:

Company:

Phone:

Address:

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? Yes No

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? Yes No

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? Yes No

Military Service

Branch:

From:

To:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

Disclaimer and Signature

Please read each statement closely and initial each acknowledging your understanding:

Testing Authorization*
If offered a position with the Company, I hereby agree to any legally permitted physical, psychological, skill, drug or medical test required by the company as a condition of employment.

Initial Below:

Investigation Authorization*
I authorize investigation into all statements and references contained in this application. Said investigation may include driving, criminal background, references and other back checks. By applying for this job, I also authorize post-hire investigation into my driving and criminal background.

Initial Below:

Consent*
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.

Signature:

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.

Date: