EMERGENCY REQUEST

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EMERGENCY REQUEST CONTACT BUDGET MAINTENANCE EMPLOYMENT OPPORTUNITIES

Application for Employment

At Budget Maintenance, Inc. we believe our goal of 100% customer satisfaction is what sets us apart from our competition. We achieve this only by hiring the right quality people that take pride in their work and embrace the company philosophy of always making it right for our clients. At Budget Maintenance Construction Services, Inc. we look for employees that:

We are an equal opportunity employer and do not discriminate on the basis of race, color, national origin, ancestry, religion, age, sex, marital status, disability, or veteran status.

To ensure the safety of our associates and clients, Budget Maintenance Construction Services, Inc. conducts criminal background checks and drug testing on all applicants.

*Required Fields

Applicant Information

Date: 20/10/2017

First Name*:

M.I.:

Last Name*:

Date of Birth*:

Address:*

City*:

State*:

Zip Code*:

Phone*:

Email*:

Are you a citizen of the United States?*:

If NO, are you authorized to work in the United States?:

Have you ever worked for this company?*:

If YES, when?:

Have you ever been convicted of a felony?*:

If YES, explain.:

Position Information

Position Applying for*:

Budget Maintenance Division*:

Date Available*:

Desired Salary*:

How did you hear about us?:
Other:

Education

High School*:

Address*:

Dates Attended*:
to

Did you graduate?*:

College:

Address:

Dates Attended:
to

Did you graduate?:

Degree:

Other:

Address:

Dates Attended:
to

Did you graduate?:

Degree:

References

Please provide TWO professional references.

Reference 1:

Full Name*:

Relationship*:

Company*:

Phone Number*:

Reference 2:

Full Name*:

Relationship*:

Company*:

Phone Number*:

Previous Employment

Previous Employer 1:

Company*:

Address*:

Supervisor*:

Phone Number*:

Your Job Title*:

Dates Employed*:
to

Responsibilities*:

Starting Salary*: Ending Salary*:

Reason for Leaving*:

May we contact this previous employer for a reference?*:

Previous Employer 2:

Company:

Address:

Supervisor:

Phone Number:

Your Job Title:

Dates Employed:
to

Responsibilities:

Starting Salary: Ending Salary:

Reason for Leaving:

May we contact this previous employer for a reference?:

Previous Employer 3:

Company:

Address:

Supervisor:

Phone Number:

Your Job Title:

Dates Employed:
to

Responsibilities:

Starting Salary: Ending Salary:

Reason for Leaving:

May we contact this previous employer for a reference?:

Military Service

Branch of Service:

Dates of Service:
From: To:

Rank at Discharge:

Type of Discharge (If other than Honorable, explain):

Disclaimer & Signature

By digitally signing below, 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.

Signature (Type Full Name)*:

Date (Type Today's Date)*:

Testing Consent

By digitally signing below, I hereby consent to a drug/alcohol test pursuant to Budget Maintenance's Drug, Alcohol and Contraband Interdiction Policy.

The testing in question is for the following reason: New Employment.

I further consent to the release of the test result(s) to Budget Maintenance's Human Resources Department, its President and its counsel, all of whom I understand will keep confidential all information pertaining thereto.

I understand that if I do not sign this Consent Form, I will not be considered for employment with Budget Maintenance. I also understand that if the test comes back with a positive result, I will not be considered for employment. If I have already begun employment, I understand that I will be terminated upon the return of a positive result. In addition, as an employee of Budget Maintenance, I understand that I will be subject to random drug testing and agree that if I a selected for a random test, I will comply.

I hereby release and hold harmless Budget Maintenance, Inc., its officers, employees and agents from all liability in connection with the collected drug test sample(s).

Signature (Type Full Name)*:

Date (Type Today's Date)*:

Criminal Record Check Consent

By digitally signing below, I acknowledge and understand that as a condition of my employment with Budget Maintenance, Inc., the company will obtain a criminal background check from local, state and/or Federal agencies and I authorize them to do so.

Signature (Type Full Name)*:

Date (Type Today's Date)*: