APPLICATION FOR EMPLOYMENT

WE ARE AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER

Each inquiry on this application must be fully answered or completed. Otherwise, you will not be considered for employment.

Position Desired (Only list one):   Minimum Acceptable Pay Rate:

Placement Desired:   When are you available for work?

PERSONAL DATA

Last Name

First Name

Middle Name

E-Mail Address

Present Address
Street and Number

City, State, Zip

How long have you lived there:
Years

Months

Previous Address
Street and Number

City, State, Zip

How long did you live there:
Years

Months

Telephone Number(s) (Home, Cell, Other)

Are you 18 years of age or older:

CURRENT AND PREVIOUS EMPLOYMENT
Please list the names of your present and previous employers in chronological order with present or last employer listed first. Include part-time, seasonal and all other employment. If self-employed, give company name and supply business references. DO NOT ANSWER “SEE RESUME.” Fill out this form completely.

Employer 1

Dates EmployedWork Performed
FromTo

Telephone Number(s)

Address (Street and Number, City, State and Zip)

Rate/Salary
StartingFinalWere you ever disciplined? If so, for what?

Job Title

Supervisor Name & Title

Reason for Leaving

Employer 2

Dates EmployedWork Performed
FromTo

Telephone Number(s)

Address (Street and Number, City, State and Zip)

Rate/Salary
StartingFinalWere you ever disciplined? If so, for what?

Job Title

Supervisor Name & Title

Reason for Leaving

Employer 3

Dates EmployedWork Performed
FromTo

Telephone Number(s)

Address (Street and Number, City, State and Zip)

Rate/Salary
StartingFinalWere you ever disciplined? If so, for what?

Job Title

Supervisor Name & Title

Reason for Leaving

Employer 4

Dates EmployedWork Performed
FromTo

Telephone Number(s)

Address (Street and Number, City, State and Zip)

Rate/Salary
StartingFinalWere you ever disciplined? If so, for what?

Job Title

Supervisor Name & Title

Reason for Leaving

BACKGROUND INFORMATION

Are you currently working?

If “yes”, name of employer:

How many days of scheduled work did you miss in the last 24 months, not including vacations, holidays and other approved leave?

Please explain fully any gaps in your employment history. Be sure to account for all periods of time including military service and any period of unemployment.

List any other names (name change, assumed name, nickname, etc.) which you may have used and which will be necessary to verify prior to your employment or education record:

If hired, can you provide proof that you are legally entitled to work in the U.S.?

If not, what steps must be taken for you to begin employment lawfully?

Have you ever been terminated, resigned in lieu of termination, or been asked to resign from any job?

If yes, please explain circumstances:

May we contact your current and previous employer(s)?

If no, please explain:

Have you ever applied here or worked for Ocean Reef Community Association, or any related Companies, in the past?

If yes, please give dates, position and location:

Do you have any friends or relatives working for Ocean Reef Community Association, or any related Companies? 

If yes, name(s), relationship and location:

How were you referred to us?

Do you have any commitments to any other employer which could affect your employment with Ocean Reef Community Association if hired (for example, an employment agreement, a non-competition or non-solicitation agreement, etc.? 

If yes, explain:

Are you capable of satisfactorily performing the essential job duties required of the position for which you are applying, with or without reasonable accommodation?

Do you have adequate transportation to and from work? 

EDUCATION

Education

Years Completed

(select)

School Name &

Location (City, State)

Describe Course of

Study or Major

Describe Specialized Experience, Training, Skills, and Extra-Curricular Activities

High School

College/University

Graduate/Professional

Trade or Correspondence

OTHER INFORMATION

List any professional or occupational registration, licensure or certification you currently hold which may be applicable:

Please provide any other information or comments, or describe any other experience that you have which would be relevant to the job for which you are applying:

Please describe your immediate and long term career goals:

PERSONAL REFERENCES
Please list persons who know you well – not previous employers or relatives.

Name

Occupation

Address
(Street and Number, City, State and Zip)

Telephone
Number

Number of
Years Known

CRIMINAL HISTORY
Applicants must not include any information about arrests or convictions that were sealed, eradicated, erased, annulled or expunged, or convictions that resulted in referral to a diversion program when responding to these two questions.

Have you ever plead no contest, nolo contendere, or guilty to a misdemeanor crime, or been convicted of a misdemeanor crime?

Have you ever plead no contest, nolo contendere, or guilty to a felony crime, or been convicted of a felony crime?

NOTE: Answering “yes” to either of these questions does not constitute an automatic bar to employment. Ocean Reef Community Association will consider the nature of the crime, its seriousness, the substantial relation to the position’s functions and qualifications, the number of occurrences, whether or not the applicant was a minor at the time of the crime, the time elapsed since the crime, the applicant’s entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by law.

If you answered yes to either of the two preceding questions, please give dates and details for each incident:

DRIVING INFORMATION (Complete only if driving is an essential function of the job for which you are applying. If so, any employment is contingent on an acceptable driving record that meets the standards of Ocean Reef Community Association and it’s insurance company. If hired, your driving record will be checked periodically.)

Do you have a current valid driver license?
If yes, License No. State: Expiration Date:

If you do not have a driver license for the state in which you currently reside, why not?

Has your license ever been suspended or revoked?

If yes, explain:

Do you have personal automobile insurance?

If no, explain:

Have you ever been denied personal automobile insurance or has it ever been terminated or suspended?

If yes, explain:

Have you ever been convicted, pled guilty, or pled nolo to a charge of DWI or DUI?

Are any such charges currently pending against you? If yes to either question, explain:

Please list all moving traffic violations in the last five (5) years:

OFFENSE

DATE

LOCATION

COMMENTS


APPLICANT’S STATEMENT: I understand that Ocean Reef Community Association is committed to providing equal opportunity in all employment practices, including but not limited to selection, hiring, promotion, transfer, and compensation to all qualified applicants and employees without regard to age, race, color, national origin, sex, religion, handicap or disability, genetic information, citizenship status, service member status, or any other category protected by federal, state, or local law.

I authorize former and present employers, and professional, work, and personal references listed in the application or interview process and any other individuals I may name, to give Ocean Reef Community Association or its designee any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release such parties from all liability for any damages that may result from furnishing same to Ocean Reef Community Association. I also authorize Ocean Reef Community Association to provide truthful information concerning my employment (if any) to future employers or as may be required, and I agree to hold it harmless for providing such information.

I understand that Ocean Reef Community Association reserves the right, to the extent permitted by applicable law, to require drug and alcohol screening tests of an applicant or an employee either prior to employment or any time during employment and I hereby give my consent to any such tests. I consent to the release of the results of any such tests to Ocean Reef Community Association or its designees. I release Ocean Reef Community Association and its designees from any and all liability and damages that may result or arise from any drug test or the provision of information in connection with such a test. Testing, if any, will only occur in accordance with applicable legal requirements.

I understand that if I am hired, my employment will be for no definite period, regardless of the period of payment of my wages. I understand that this employment application and any other Ocean Reef Community Association documents are not promises of employment. Should I be employed, I understand that my entire employment will be on an at-will basis. I understand that I can terminate my employment at any time with or without cause and with or without advance notice and that Ocean Reef Community Association has a similar right. I understand that no manager, representative, or agent of Ocean Reef Community Association has any authority to enter into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing, except that the President may do so in writing. In the event of my employment with Ocean Reef Community Association, I will comply with all rules and regulations of Ocean Reef Community Association.

I further understand that if employed, I will be on a 90-day introductory period, and that termination for unsatisfactory performance during that period will not result in any Ocean Reef Community Association responsibility for unemployment benefits.

I certify that the information given by me on this application and during the interview process is and will be true and complete in all respects, and I agree that if the information is found to be false, misleading, or unsatisfactory in any respect (in Ocean Reef Community Association’s judgment) that I will be disqualified from consideration for employment or subject to immediate termination if discovered after I am hired.

I certify that Ocean Reef Community Association may obtain one or more consumer reports on me for use in connection with my application and, if I am hired, other employment related purposes during my employment with Ocean Reef Community Association. I authorize Ocean Reef Community Association and/or persons acting on Ocean Reef Community Association’s behalf to obtain these reports.

THIS APPLICATION WILL BE CONSIDERED “ACTIVE” FOR A MAXIMUM OF THIRTY (30) DAYS

IF YOU WISH TO BE CONSIDERED FOR EMPLOYMENT AFTER THAT TIME, YOU MUST REAPPLY.

BY SIGNING THIS APPLICATION, I WAIVE MY RIGHT TO A JURY TRIAL OVER ANY CLAIM OR CONTROVERSY RELATED TO OR ARISING UNDER THIS EMPLOYMENT APPLICATION AND, IF I AM HIRED, MY EMPLOYMENT (AND ANY OF ITS TERMS AND CONDITIONS) AND/OR MY SEPARATION FROM EMPLOYMENT (WHETHER SUCH CLAIM ARISES UNDER THIS APPLICATION, STATUTE, REGULATION, LOCAL LAW, OR COMMON LAW).

DO NOT SIGN UNTIL YOU HAVE READ AND UNDERSTAND THESE STATEMENTS.


Date


Applicant's Signature