Tamarindo Estates Job Application Form

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Tamarindo Estates Job Application Form Page 1. PLEASE PRINT ALL APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS PLEASE EMAIL YOUR PHOTO TO TAMARINDO ESTATES PLEASE COMPLETE PAGES 1-5. DATE Name Age: Last First Middle Maiden Present address Number Street City State Zip How long in this address? Social Security No. Telephone ( ) Position applied for (1) Days/hours available to work and salary desired (2) (Be specific) Have you read job description? Yes No TYPE OF SCHOOL NAME OF SCHOOL LOCATION (Complete mailing address) High School College Bus. or Trade School NUMBER OF YEARS COMPLETED DATES ATTENDED MAJOR & DEGREE Professional School When are you available for work? HAVE YOU EVER BEEN CONVICTED OF A CRIME? No Yes If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. PLEASE SUBMIT A CONDUCT OR CRIMINAL RECORD REPORT FROM YOUR STATE OF RESIDENCE

Page 2 PLEASE PRINT ALL DO YOU HAVE A DRIVER S LICENSE? What is your means of transportation to work? Driver s license number State of issue Operator Commercial (CDL) Chauffeur Expiration date Have you had any accidents during the past three years? Have you had any moving violations during the past three years? How many? How Many? THIS SECTION LEFT BLANK INTENTIONALLY. l REFERENCES _ Please list two references other than relatives or previous employers. Name Position Company Name Position Company Telephone ( ) Telephone ( ) An application form sometimes makes it difficult for an individual to adequately summarize a complete background. Use the space below to summarize any additional information necessary to describe your full qualifications for the specific position for which you are applying.

Page 3. PLEASE PRINT ALL MILITARY HAVE YOU EVER BEEN IN THE ARMED FORCES? ARE YOU NOW A MEMBER OF THE NATIONAL GUARD? Specialty Date Entered Discharge Date Work Experience Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. Your Last Job Title ------------------------------------------------------------------------------------------------------------------------------------------------------------------------ --

Page 4 PLEASE PRINT ALL Work experience Please list your work experience for the past five years beginning with your most recent job held. If you were self-employed, give firm name. Attach additional sheets if necessary. Did you complete this application yourself ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- Did you complete the application form yourself? Yes No If not, who did? May we contact your present employer? Yes No

Page 5. ACKNOWLEDGEMENT AND AUTHORIZATION I certify that answers given herein are true and complete to the best of my knowledge. I understand that as a condition of employment, I will be required to provide legal proof of authorization to work in the U.S. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. Employer may check for any criminal history in accordance with applicable statuses. I authorize any of the persons or organizations referenced in this application to give Tamarindo Estates any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and I release all such parties from all liability from any damages which may result from furnishing such information to you. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an at will nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause, It is further understood that this at will employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Tamarindo Estates. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulation of the Employer. Signature of Applicant Date