Employment Application

First Name *
Last Name *
Street Address
City *
State *	Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maine Maryland Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Virgin Islands Vermont Washington Wisconsin West Virginia Wyoming	Zip *
Home Phone *		Cell Phone
Email *
Real Estate License No.*
Expiration Date *	(mm/dd/yyyy)
Position Applied for *	Sales Assistant Sales/Contract Coordinator Sales Representative
Referred By *
If hired, can you present evidence of your United States citizenship or proof of your legal right to live and work in this country? *    YesNo
Have you previously applied for employment with or worked for Real Estate Temps? *    YesNo
If so, when?

Check days you are available to work

MondayTuesdayWednesdayThursdayFridaySaturdaySunday

If hired, do you have reliable transportation to and from work? *    YesNo

Are you willing to travel up to 30 miles to an assignment *    YesNo

Date available for assignment

Answering yes to the next two questions will not constitute an automatic bar to employment. Factors such as your age at the time of the offense, seriousness and nature of the violation and rehabilitation will be taken into account. Do not include minor traffic citations other than driving under the influence (DUI), convictions for which the record has been sealed or expunged, any conviction for which probation has been successfully completed or otherwise discharged and the case has been judicially dismissed, and referrals to and participation in any pre-trial or post-trial diversion programs.

Have you ever been convicted of a felony?    YesNo

If so, when?

Have you ever been arrested for any matter for which you are out on bail or on your own recognizance pending trial?    YesNo

If so, provide dates and details

Name of High School
City
High School Graduate	YesNo
Graduation Date
GED	YesNo
Name of College
City
College Graduate	YesNo
Major
List Degree/Degrees
Other Skills/Experience
Is there any other experience, skill or qualification that you would like to be considered?
Languages
What foreign languages do you fluently speak, read and write?

Military Branch
Active	From   To
Honorable Discharge	YesNo

List your present or previous employers in chronological order with current or most recent employer listed first. Account for all periods of time, including military service and any period of unemployment. If self-employed, provide firm name and supply business references. This section must be completed; do not indicate "see resume."
Current or Most Recent Employer
May we contact your current employer? YesNo
Company Name
Phone
Address
Supervisor's Name
Contact Number
Job Title
Employed	From   To
Reason for leaving

Next Most Recent Employer
Company Name
Phone
Address
Supervisor's Name
Contact Number
Job Title
Employed	From   To
Reason for leaving

Next Most Recent Employer
Company Name
Phone
Address
Supervisor's Name
Contact Number
Job Title
Employed	From   To
Reason for leaving

Have you been terminated or asked to resign from any job? YesNo

If yes, please explain the circumstances

I certify that all of the information that I have provided on this application is true and accurate. Enter your initials in the box below; your initials serve as your electronic signature.

Initials *