EMPLOYMENT APPLICATION Step 1 of 5 20% Applicant InformationApplying For PositionArea LeaderAssistant Area LeaderSolutions TechLead Solutions TechFloor TechOtherName* First Middle Last Date of Birth*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Date Available* What Days/Hours Are You Available To Work?*Social Security Number*Desired Salary*Are you a citizen of the United States?*YesNoIf no, are you authorized to work in the U.S.?*YesNoHave you ever worked for this company?*YesNoIf so, when?*Have you ever been convicted of a misdemeanor or a felony?*YesNoIf yes, explain* EducationHigh SchoolName of High School*Address*Dates*Did you graduate?*YesNoDegree* CollegeName of CollegeAddressDate AttendedDid you graduate?YesNoDegree OtherNameAddressDates AttendedDid you graduate?YesNoDegree ReferencesPlease list three professional references.Reference 1Name First Last RelationshipCompanyAddressPhone Reference 2Name First Last RelationshipCompanyAddressPhone Reference 3Name First Last RelationshipCompanyAddressPhone Previous EmploymentCompany 1Company NamePhoneAddressSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesDates EmployedReason for leavingMay we contact your previous supervisor for a reference?YesNoCompany 2Company NamePhoneAddressSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesDates EmployedReason for leavingMay we contact your previous supervisor for a reference?YesNoCompany 3Company NamePhoneAddressSupervisorJob TitleStarting SalaryEnding SalaryResponsibilitiesDates EmployedReason for leavingMay we contact your previous supervisor for a reference?YesNo Military ServiceBranchDates EnlistedRank at DischargeType of DischargeIf other than honorable, explainTerms and ConditionsAcceptance* I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand that if Lee Building Maintenance wishes to hire me a background check will be administered. This iframe contains the logic required to handle Ajax powered Gravity Forms.
