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Residential Fire Protection
7705 Commercial Way Suite 155 *Henderson, NV 89011
Nevada Office
PH  702.966.8021
Fax  702.987.1174
California Office
PH  714.881.7200
Fax  714.265.7694

 

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Residential Fire Protection,LCC Employment Application
Programs, services, and employment are equally available to everyone. Please inform the Human Resources Department if you require reasonable accommodation for the application or interview. Date of Review
 
APPLICANT DATA: Position Applied for:
How were you referred to us:    *
Full Name:  *
Address: * City: *
State: * Zip:
Phone: * Mobile/Pager/Other:
Email: *
Date Available to Start:  * Social Security #: *
Salary Requirement: *
If you are under 18 and we require a work permit, can you furnish one? Yes No
If no please explain:
Have you ever worked for this company? Yes No
If yes, when?
Are you a citizen of the United States? Yes No
If not, are you legally allowed to work in the United States? Yes No
Type of employment desired: Full-Time Part-Time Temporary Seasonal *
Have you ever pleaded "guilty," "no contest," or been convicted of a crime? Yes No
If yes, give dates and details:
Answering "yes" to these questions does not constitute an automatic rejection for employment. Date of the offence, seriousness and nature of the violation, rehabilitation and position applied for will be considered.
Driver's license number if applicable to position: State:
SUMMARIZE YOUR SPECIAL SKILLS OR QUALIFICATIONS:
PREVIOUS EMPLOYMENT (begin with most recent position):
Dates of Employment: From:   To:  
Position(s) Held:
Firm: Address:
Phone:
Supervisor: Title:
Responsibilities:
Starting Salary: Title:
Ending Salary: Title:
Reason for leaving:
May we contact this employer for a reference? Yes No
Dates of Employment: From:   To:  
Position(s) Held:
Firm: Address:
Phone:
Supervisor: Title:
Responsibilities:
Starting Salary: Title:
Ending Salary: Title:
Reason for leaving:
May we contact this employer for a reference? Yes No
Dates of Employment: From:   To:  
Position(s) Held:
Firm: Address:
Phone:
Supervisor: Title:
Responsibilities:
Starting Salary: Title:
Ending Salary: Title:
Reason for leaving:
May we contact this employer for a reference? Yes No
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.
In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.