Employment Policy

First Title is an equal opportunity employer and does not discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and programs is avaliable to all persons. Those applicants requiring reasonable accomodation to the application and/or interview process should notify a representative of this company.

Authorization

I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, references, and educational institutions. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either | or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no applicable federal or state law.

I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that person's need for a reasonable accomodation as required by the ADA.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

Personal Information

*Name:(First,Middle,Last)

Present Address:

*E-Mail Address:

*SSN:

*Phone:

- - ext-

Desired Employment

Position Desired:

Type of employment:

Full Time  Part Time  Temporary

Date available to start:

Do you have any objection to working overtime?

Yes  No

Can you travel if required by this position?

Yes  No

Have you ever been previously employed by First Title?

Yes  No

May we contact your present employer?

Yes  No

Have you been convicted of a crime in the past 7 years?

Yes  No

If "YES", please explain:

Prior Employment

Please list your past four employers, starting with the most recent

Employer 1

Month/Year From:

Month/Year To:

Name and Address of Employer

Salary

$

Position

Reason for Leaving

Employer 2

Month/Year From:

Month/Year To:

Name and Address of Employer

Salary

$

Position

Reason for Leaving

Employer 3

Month/Year From:

Month/Year To:

Name and Address of Employer

Salary

$

Position

Reason for Leaving

Employer 4

Month/Year From:

Month/Year To:

Name and Address of Employer

Salary

$

Position

Reason for Leaving

Education

High School

Name and Location of School

Graduated?

Yes  No  Attending

Major Area of Study

College

Name and Location of School

Graduated?

Yes  No  Attending

Major Area of Study

Other School

Name and Location of School

Graduated?

Yes  No  Attending

Major Area of Study

Summarize any job-training, skills, licenses, certificates, and/or other qualifications

References

Reference 1

Name and Occupation

Phone

- - ext-

Email Address

Years Known

Reference 2

Name and Occupation

Phone

- - ext-

Email Address

Years Known

Reference 3

Name and Occupation

Phone

- - ext-

Email Address

Years Known

Additional

Provide any additional information that will assist us in our evaluation of your application.

Sign and Date Form

This is only required if you are filling this out in paper form

Applicants Signature:______________________ Application Date:___________