Employment with Seabreeze Property Services - Sea Breeze Property Services, Residential and Industrial Property Maintenance, Portland Maine

Personal Information

Last Name *

First Name *

Middile Initial

Social Security Number *

Street Address *

City/State *

Zip Code *

Phone Number *

Are you legally authorized to work in the US? *

Yes

Are you 18 years of age or older? *

Yes

Position Desired

Wage/Salary Desired

Date you can begin work

Referred by

Have you ever applied to this company before? *

Yes

Have you ever been convicted of, plead guilty / no contest to, or had a suspended imposition of sentence for any offence? ( other than minor traffic violations ) *

Yes

If yes, please explain

Professional References

Name *

Occupation *

Phone Number *

Name *

Occupation *

Phone Number *

Name *

Occupation *

Phone Number *

Employment History

Name of employer

Job title

Address

City/State/Zip

Dates of employment

Hourly pay or salary

Supervisor name

Supervisor telephone

Reason for leaving

Name of employer

Job title

Address

City/State/Zip

Dates of employment

Hourly pay or salary

Supervisor name

Supervisor telephone

Reason for leaving

Name of employer

Job title

Address

City/State/Zip

Dates of employment

Hourly pay or salary

Supervisor name

Supervisor telephone

Reason for leaving

Authorization

I certify that all of the information provided in this employment application is true and complete to the best of my knowledge. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date.

I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.

I have read, understand, and agree to the above statements *

Date

Request for Drivers License Check

Name *

Birth Date *

License Number *

I grant Seabreeze Property Services, Inc. permission to check my driving record/history for possible employment and assessment of my insurability under the company’s insurance coverage.

In accordance with the provisions of the Fair Credit Reporting Act, public law #91-508, we hereby certify that the information requested will be used for a “permissible purpose” as identified in the act.

If the applicant named above is denied employment based on the information received, the source of the report will be identified.

Employment

APPLICATION FOR EMPLOYMENT