Employment Application

Name*

Address*

E-mail

Phone Number*

Are you at least 18 yrs old?*

If you are not a US citizen, what type of permit do you have to work legally in the US?

Have you been convicted of a felony?*

If you answered, "Yes" above, please give date and explanation.

Note: Conviction does not automatically exclude you from consideration for employment and you will be given the opportunity to explain any convictions. Applicants with a sealed record on file may answer \\\"no record\\\" to any inquiries about criminal charges.

EMPLOYMENT DESIRED

Position Applying For:*

Date You Can Start*

Wage Desired*

Type of Employment Preferred*

Full-Time
Part-Time
Seasonal/Temporary

Are you employed now:*

If so, may be inquire at your current employer?

What interests you about work for WsYOU/Bluff City Properties?

Skills & knowledge you would bring to this position*

EMPLOYMENT HISTORY

Please fill out this section beginning with present or most recent employer.

Employed by:*

Date Started*

Position*

Supervisor*

Phone Number*

Starting Wage*

Ending Wage*

Responsibilities & Accomplishments*

Reason for Leaving, if applicable

May we contact this employer?*

____________________________________________

Employed by:

Date Started

Position

Supervisor

Phone Number

Starting Wage

Ending Wage

Responsibilities & Accomplishments

Reason for Leaving, if applicable

May we contact this employer?

_____________________________________________

Employed by:

Date Started

Position

Supervisor

Phone Number

Starting Wage

Ending Wage

Responsibilities & Accomplishments

Reason for Leaving, if applicable

May we contact this employer?

EDUCATION & TRAINING

High School*

Did you graduate?*

College or University*

Did you graduate?*

Yes
No
Major/Degree In Progress

Other

List other job-related special training, certifications, or experience that would be relevant to your application.

REFERENCES

Name*

Phone Number*

Relationship*

Years Aquainted*

_____________________________________________

Name*

Phone Number*

Relationship*

Years Aquainted*

_____________________________________________

Name*

Phone Number*

Relationship*

Years Aquainted*

AUTHORIZATION

I certify that the information in this application is true and correct. I agree that falsified information or omissions may disqualify me from further consideration and may be considered justification for dismissal if discovered at a later date. I understand that filling out this form does not indicate there is a position open and does not obligate Bluff City Properties, LLC to hire. I further understand and agree that nothing contained in this application or conveyed during any interview, is intended to create an employment contract. I authorize Bluff City Properties, LLC to verify any of the information I have submitted in applying for employment with the Company, unless otherwise indicated. I understand that employment with the Company will be conditioned upon the ability to demonstrate verification to work in the United States. The Company retains the right to revise its policies and procedures, in whole or in part, at any time. In an employment relationship is established, I understand that my employment will be terminable at will of the Company, for any non-discriminatory reason, and/or myself at any time.

I hereby acknowledge that I have read the above statement and understand it.

Signature*

Date*

Application for Employment