Application for Employment
Equal access to programs, services and employment is available to all persons. Those applicants requiring accommodation to the application and/or interview process should contact a representative of the Human Resources Department.
Name______________________________________________________________________________________
Last
First
Middle
Address____________________________________________________________________________________
Street/Apt.
City
State
Zip Code
Telephone
(_____)_____________________________
Social Security Number _______________________
Have you ever been employed here before?
Are you legally authorized to work in this country?
Type of employment desired
Are you able to meet the attendance requirements of the position?
Have you been convicted of a crime in the last (7) years?
(Such conviction may be relevant if job-related, but does not necessarily bar you from employment.)
( ) Yes
( ) Yes
( ) Full-time
( ) Yes
( ) Yes
( ) Part-time
( ) Yes
( ) Yes
( ) No
( ) No
( ) Temp
( ) No
( ) No
Date available for work_____/_____/_____
Driver's License Number (Only if job applied for requires use of automobile in daily tasks) __________________ State _____
Previous Employment
Please list your last four employers, assignments or volunteer activities, starting with the most recent, including military experience.
| From To | Employer | Telephone | |
| Job Title | Address | City, State | Zip Code |
| Immediate Supervisor and Title | Brief summary of work performed and job responsibilities | ||
|
Reason for leaving
Hourly rate/salary
Staring $_______ per ________ Ending $_______ per ________ |
|||
| From To | Employer | Telephone | |
| Job Title | Address | City, State | Zip Code |
| Immediate Supervisor and Title | Brief summary of work performed and job responsibilities | ||
|
Reason for leaving
Hourly rate/salary
Staring $_______ per ________ Ending $_______ per ________ |
|||
| From To | Employer | Telephone | |
| Job Title | Address | City, State | Zip Code |
| Immediate Supervisor and Title | Brief summary of work performed and job responsibilities | ||
|
Reason for leaving
Hourly rate/salary
Staring $_______ per ________ Ending $_______ per ________ |
|||
Summarize any training, skills, licenses, certificates and/or characteristics of yourself that may qualify you as being able to perform functions for the position which you are applying.________________________________________________________________________________
____________________________________________________________________________________________________________
| Name & Location | Number of Years Completed | Did You Graduate? | Course of Study |
| High School | |||
| College | |||
| Other (i.e. Trade School) |
| Name | Telephone | Years Known |
I attest to the truth and accuracy of all information I have provided on this application and it is understood and agreed that any misrepresentation by me or omissions of fact on this application will be sufficient cause for rejection of my application and/or termination of my employment, if I have become employed.
I give the
company the right to investigate all references and to secure additional
information about me, if job-related. I
hereby release the
company and its representatives from any liability for
seeking such information, as well as all other persons, corporations or
organizations for furnishing such information to the company.
This company is a “Drug Free Workplace” and it is understood that all offers of employment are conditional. The company required those all-eligible applicants to participate in a pre-employment drug-testing program. An application will not be processed further unless the eligible applicant agrees to participate in the test. Failure to sign the Consent and Release Form will disqualify me from any consideration for employment. Further, I voluntarily consent to take a pre-employment screening and background testing.
The company is an equal opportunity employer and will not base hiring decisions on race, sex, national origin, religion, disability, age, or any other protected characteristic under applicable local, state, or federal laws. The company does not discriminate in employment and no question on this application is used or intended to be used for the purpose of limiting or excluding any applicant’s consideration for employment on any basis prohibited by applicable local, state or federal law.
This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.
I understand that the company is an “employer at-will” and that if I become employed by the company just as I will be free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.
I understand it is this company’s policy not to refuse to hire a qualified individual with a disability because of this person’s need for an accommodation that would be required by the ADA.
Signature of Applicant________________________________________________________________ Date_______/_______/_______
Please mail this completed application to:
11200 Rockville Pike, Suite 100
Rockville, MD 20852
Contact Information:
Phone: 301.231.8700
Email: info@capreit.com