Employment Application - R-Anell Homes

Application for Employment

Name*
First Middle Last
Phone*
Email
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Desired Career Opportunity
Rate of Pay Desired $
Hours*
Are you 18 Years of Age or Older?*
- Yes
- No
Are you legally eligible for employment in the United States?*
- Yes
- No
Regular Attendance is an essential job function and is required by all employees of R-Anell. Will you be able to meet this requirement?*
- Yes
- No
Some Positions require climbing on ladders and scaffolds, working on roof trussed and roofs 6 feet above the ground, and lifting items of up to 70 pounds to a height of approximately 4 feet. Would you be able to perform these tasks?*
- Yes
- No
Note: R-Anell will consider employment, without any regard to disability, a disabled applicant who satisfies the requisite skill, experience, education, and other job related requirements of the job and is capable of performing the essential requirements of the job with or without reasonable accommodations.
Have you ever applied for employment or worked at R-Anell?*
- Yes
- No
If yes please give dates and locations of prior employment with R-Anell:
If hired, do you have access to reliable transportation, which ensures that you arrive to work on time and remain at work until the end of our assigned work day or shift?*
- Yes
- No
Within the last 7 years, have you ever been convicted by any court, including a court of military justice, of a felony which has not been annulled or expunged or sealed by a court?*
- Yes
- No
If yes, please indicate the date, place, and nature of each conviction and terms of probation (yes answer will not neccessarily result in disqualification).
Education
High School
Select the Highest Grade Level Completed*
High School Attended
City, State
Graduated*
- Yes
- No
If not a high school graduate, do you have a Equivalency diploma?
- Yes
- No
College
College Attended
Degree
City, State
Course of Study
Job Knowledge / Abilities
Production Positions Experience
Years of Experience
Production Positions Experience
Years of Experience
Other Experience
Prior Work History
Most Recent Employment
Dates: (From Month/Year To Month/Year)
Employer:
Phone:
Rate of Pay:
Supervisor's Name:
May we contact this Employer?
Reason for Leaving:
Type of work performed
Next Employment History
Dates: (From Month/Year To Month/Year)
Employer:
Phone:
Rate of Pay:
Supervisor's Name:
May we contact this Employer?
Reason for Leaving:
Type of work performed
Next Employment History
Dates: (From Month/Year To Month/Year)
Employer:
Phone:
Rate of Pay:
Supervisor's Name:
May we contact this Employer?
Reason for Leaving:
Type of work performed
Next Employment History
Dates: (From Month/Year To Month/Year)
Employer:
Phone:
Rate of Pay:
Supervisor's Name:
May we contact this Employer?
Reason for Leaving:
Type of work performed
References
Name of Reference
Phone Number
Number of Years Known
Name of Reference
Phone Number
Number of Years Known
Name of Reference
Phone Number
Number of Years Known
Names
Have you been known by any other name(s) which R-Anell will require to verify education, employment, and criminal records as furnished in this application?
This information contained in this application is true to the best of my knowledge and belief and I understand and agree that any falsified, incomplete, omitted, or misleading statements by me in connection with the application may result in the rejection of my application or termination of my employment whenever such information might be discovered.
I understand and agree that all information furnished in this application may be verified by the company, and I hereby authorize all individual and organizations named or referred to in this application and any law enforcement organization to give the company all information relative to such verification and hereby release such individuals and organizations from any and all liablility for any claim or damage resulting therefrom. If employed, I authorize the company to supply information about me to any entity with whom I might hereafter seek employment and or who has a legitimate reason to inquire of such information including but not limited to, lending institutions, government agencies and schools.
I understand and agree that should I be offered employment by the company, I may be required to undergo drug and other physical examinations and that these examinations will be at company expense and are a condition of my employment.
If accepted for employment, I hereby agree to abide by all rules and policies of the company as explained in the Employee Handbook and its amendments from time to time, and to wear all personal protective equipment required for the occupation in which I am engaged. I agree to provide additional medical information which may be required or to take medical or any other type of examination (at the expense of the Company) necessary to qualify or retain employment with the company.
Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, religion, national origin, disability, or any other factor protected by applicable law. Those applicants requiring reasonable accommodations to the application and or interview process should notify a representative of the Human Resources Department.
I hereby acknowledge that I have read and fully understand the above certifications.
Signature of Applicant*
Date*

Application for Employment

Education

High School

College

Job Knowledge / Abilities

Prior Work History

Most Recent Employment

Next Employment History

Next Employment History

Next Employment History

References

Names

I understand and agree that should I be offered employment by the company, I may be required to undergo drug and other physical examinations and that these examinations will be at company expense and are a condition of my employment.

I hereby acknowledge that I have read and fully understand the above certifications.