Outer Beaches Employment Application

I authorize the investigation of all statements contained in this application. I also authorize the Company to contact my present employer, past employers, and listed references. I understand that the Company may request an investigative consumer report from a consumer reporting agency that includes information as to my character, general reputation, personal characteristics, and mode of living. I also understand that under the Federal Fair Credit Reporting Act I have the right to make a written request to the Company, within a reasonable time, for the disclosure of the name and address of the consumer reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation.

By my signature and initials placed below, I promise that the information provided in this employment application (and accompanying resume, if any) is true and complete, and I understand that any false information or significant omissions may disqualify me from further consideration for employment, and may be justification for my dismissal from employment, if discovered at a later date. I agree to immediately notify the Company if I should be convicted of a felony, or any crime involving dishonesty or a breach of trust while my application is pending, or during my period of employment, if hired.

I authorize any person, school, current employer and organizations named in this application form to provide the Company with relevant information and opinion that may be useful to the Company in making a hiring decision, and I release such persons and organizations from any legal liability in making such statements.

I give permission for a complete pre-employment physical examination, including a drug screening exam and x-rays, and I consent to the release to the Company of any and all medical information, as may be deemed necessary by the Company in judging my capability to do the work for which I am applying.

I understand that this application does not, by itself, create a contract of employment. I understand and agree that, if hired, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD OF TIME, and may, regardless of the date of payment of my wages or salary, BE TERMINATED AT ANY TIME. I understand that NO PERSON IS AUTHORIZED TO CHANGE ANY OF THE TERMS

OUTER BEACHES REALTY is an equal opportunity employer dedicated to a policy of nondiscrimination in employment upon any basis, including race, color, creed, religion, age, sex, national origin, ancestry, sexual orientation, marital status, military status, or the presence of any non-job related medical condition or handicap. Please keep in mind that the questions contained in this application are not intended to be discriminatory based on any non-job information.

Name:

Social Security Number:

Current Address:

Ex: 40227 Tigrone Blvd. Avon, NC 27915

Best Phone Number:

Position Applied for:

Type of work desired:

Date available to start:

Date

Have you ever been employed by us?

YesNo

If yes, please give dates of employment, position(s) held, and state your name while employed, if different from present name

Days available to work (please select all that apply)

Do you have any commitments to another employer that might affect your employment here? If yes, please explain:

Are you at least 18 years of age?

YesNo

Do you have a valid driver’s license?

YesNo

Have you ever been convicted or a felony, or released from prison in the past 10 years? Note: A yes answer does not automatically disqualify you from employment since the nature of the offense, date, and type of job for which you are applying will be considered. If yes, please explain:

YesNo

g.Questions Where Job Involves Account Receivable, Handling Cash, Etc.

Have you ever been convicted, pled guilty or pled “no contest” to any criminal offense involving dishonesty or a breach of trust, including, but not limited to, theft, fraud, passing bad checks, credit card fraud, forgery, or other crime? If you were charged, but the charges were dropped or you were acquitted, answer “No”.

YesNo

Have you been charged with a crime that has not yet resulted in a plea of guilty, court trial, or a dropping of the charge? Note: A yes answer will not automatically disqualify you from employment. If yes, please explain:

During the past seven years, have you been denied a driver’s license, or convicted or a moving traffic offense, including, but not limited to, driving while intoxicated or reckless driving? If yes, please explain:

Do you have any language abilities (such as reading or speaking a foreign language) that might help you perform the job(s) for which you are applying? If yes, please explain:

Do you have any experience from your military service that would be relevant to the job(s) for which you are applying? If yes, please explain:

Do you have a North Carolina Real Estate License (broker or salesperson)?

YesNo

During the past several years have you ever been disciplined by the Board of Realtors or Real Estate Commission or had your license suspended, revoked or received a reprimand?

YesNo

Skills Area Questions

Word Processing Ability?

YesNo

Computer Experience?

YesNo

List the business machines, computers, and word processor you can operate:

Questions Where Job Involves Manual Labor

Are you physically able to lift 50 lb. sacks on a continued, hour-by-hour, day-by-day basis?

YesNo

Do you agree to take a test, at your own risk of injury, to prove your ability?

YesNo

Employment History

Employer

Name of Employer, Position Held, Dates of Employment

Employer Phone #

Name of Supervisor

Reason for Leaving?

Employer

Name of Employer, Position Held, Dates of Employment

Employer Phone #

Name of Supervisor

Reason for Leaving?

Employer

Name of Employer, Position Held, Dates of Employment

Employer Phone #

Name of Supervisor

Reason for Leaving?

Educational Data

Schools Attended

Highest Grade Completed?

Did you Graduate?

YesNo

Degree/ Diploma/ Certificate?

Please list course of study

Technical, Vocational, Business or Military Training

Additional job-related seminars, short courses, workshops, or other educational experiences:

12. REFERENCES: List Three Individuals Who Are Not Former Employers Or Relatives

Please include their names, phone numbers, and occupations

13. Please list and describe any paid or unpaid activities, honors, experience, or training that might aid you in performing the job(s) for which you have applied, and have not been listed previously in this application. Omit any activities, honors, memberships or other items that tend to identify your race, sex, national origin, age, handicap or other personal traits.

14. Please add any additional information that you think may be relevant to a decision to hire you.

THIS APPLICATION FOR EMPLOYMENT WILL REMAIN ACTIVE FOR _____ WEEKS

Employer to fill this section out

APPLICATION FOR EMPLOYMENT

GENERAL INFORMATION