Employment Application

An Equal Opportunity Employer: Service Star is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Applicants requiring reasonable accommodation in the application and/or interview process should notify a representative of the organization.

"*" indicates required fields

Applicant Information

Name*

First Last

Email*

How were you referred to Service Star?*

Home Phone*

Mobile Phone*

Employment Positions

Position applying for:*

What days and hours are you available to work?*

If hired, on what date can you start?*

MM slash DD slash YYYY

Can you work weekends?*

Yes

Do you have any friends, relatives or acquaintances working for Service Star?*

Yes

If yes, state name and relationship:*

If hired, would you have transportation to/from work?*

Yes

Are you over the age of 18?*

Yes

If "no," subject to verification of minimum legal age.

If hired, are you able to present evidence that you legally can work in the United States?*

Yes

If hired, are you willing to submit to and pass a controlled substance test?*

Yes

Are you able to perform the essential functions of the job for which you are applying, either with or without reasonable accommodation?*

Yes

if "no", describe the functions that cannot be performed:*

Note: Service Star complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential job functions. It is possible that an individual may be tested on skill/agility and may be subject to a medical examination depending upon his or her advancement through the hiring process and as permitted by law. Service Star also complies with FEHA and does not unlawfully discriminate against job applicants and employees or retaliate against them because they have asserted their rights under the law. In addition, harassment based on a protected characteristic is prohibited.

Education, Training and Experience

High School

High School Name:*

High School Address:*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Did you graduate?*

Yes

If no, number of years completed:*

Degree/Diploma earned?*

College/University

School Name:*

School Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of years completed:*

Degree/Diploma earned?*

Other

School Name:

School Address:

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of years completed:

Degree/Diploma earned?

Military

Branch:

Rank:

Total years of service:

Skills/Duties:

Related Details:

PLEASE READ CAREFULLY BEFORE SIGNING

I herby certify that all of the information provided by me in this application (or any other accompanying or required documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification, misrepresentation or omission of any facts in said documents will be cause or denial of employment or immediate termination of employment regardless of the timing or circumstances of discovery.

I understand that submission of an application does not guarantee employment. I further understand that, should an offer of employment be extended by Service Star (hereinafter referred to as “Service Star”) that such employment with Service Star is at will, for no specified duration and may be terminated by either Service Star or myself at any time, with or without cause or notice.

I understand that none of the documents, policies, procedures, actions, statements of Service Star or its representatives used during the employment process is deemed a contract of employment real or implied. I understand that no representative of Service Star except the President has the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to the foregoing statements and that any such agreements must be made in writing and signed by the President of Service Star.

In consideration for employment with Service Star, if employed, I agree to conform to the rules, regulations, policies and procedures of Service Star at all times and understand that such obedience is a condition of employment. I understand that due to the nature of Service Star business, attendance and punctuality are considered essential requirements of every job at Service Star and that poor attendance or tardiness that is not otherwise protected by law will result in disciplinary action.

I understand that if offered a position with Service Star, I may be required to submit to a pre-employment medical examination, drug screening and background check as a condition of employment.

I understand unsatisfactory results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks will result in withdrawal of any employment offer or termination of employment if already employed.

I hereby authorize any and all schools, former employers, references, courts and any others who have information about me to provide such information to Service Star and/or any of its representatives, agents or vendors and I release all parties involved from any and all liability for any and all damage that may result from providing such information.

BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE ABOVE STATEMENTS.

Date*

MM slash DD slash YYYY

Signature*

Name

This field is for validation purposes and should be left unchanged.