Facility Solutions Group
800-123-1234   fsgi.com

Employment Application

Facility Solutions Group
Human Resources Department
4401 Westgate Boulevard #310 Austin, TX 78745
512-440-7985

Facility Solutions Group is an Equal Opportunity Employer. Individuals requiring reasonable accommodations to complete the application and/or interview process should contact the Human Resources Department.

Personal Information

Name:
Current address: Street
 City
 State
 Zip
Permanent address: Street
 City
 State
 Zip
Phone #:
Mobile Phone #:
Pager #:
Email Address:
Referred By:
Social security number:
Driver's license #:

Employment Information

What position are you applying for?:
Have you ever applied to this company before?: NO YES
If yes, when & where?:
Are you currently employed?: NO YES
If yes, may we contact your employer?: NO YES
Date you can begin work:
Desired salary:
Type of employment desired:
Are you legally eligible for employment in this country?: NO YES
Have you ever plead "guilty" or "no contest" to,
or been convicted of a crime?:		 NO YES
If so, please provide date(s) and offense:
Answering "yes" to this question does not constitute an automatic bar to employment. Factors such as date, seriousness of offense, rehabilitation, and position applied for will be taken into account.

Education, Skills, Qualifications

Grammar School
Name/Location of School
# of years attended
Did you graduate? NO YES
Subjects/Major
High School
Name/Location of School
# of years attended
Did you graduate? NO YES
Subjects/Major
College
Name/Location of School
# of years attended
Did you graduate? NO YES
Subjects/Major
Trade/Business School
Name/Location of School
# of years attended
Did you graduate? NO YES
Subjects/Major

Special Training & Skills

Check all that apply:

Driver's License - (Check one): Class C Commercial
Journeyman's License: NO YES
Master's License(s) NO YES
Master's License(s) List Cities
US Military or Naval Service:
Rank:

Employment History

List your employers below, starting with the most recent first.

Dates: From/To
Name/Address
Salary
Position
Reason for Leaving
Dates: From/To
Name/Address
Salary
Position
Reason for Leaving
Dates: From/To
Name/Address
Salary
Position
Reason for Leaving
Dates: From/To
Name/Address
Salary
Position
Reason for Leaving

References

Reference #1
Name
Telephone
# of Years Known
Reference #2
Name
Telephone
# of Years Known
Reference #3
Name
Telephone
# of Years Known
Reference #4
Name
Telephone
# of Years Known

I certify that all of the information that I have provided on this application is true, complete, and correct.

I understand that if any of the information I have provided on this application for employment is found to be false, incomplete or misrepresented in any respect, it will be sufficient cause to either nullify consideration of this application for employment or constitute grounds for immediate termination of employment whenever it is discovered.

I authorize the investigation of all statements contained on this application, and authorize the references and employers listed to give Facility Solutions Group any and all information concerning my previous employment and any pertinent information, and release Facility Solutions Group from all liability for any damage which may result from the utilization of such information.

I understand that Texas is a right to work state and that if I am hired, I am free to resign at any time, with or without cause or prior notice, except as may be required by law. This application does not constitute an agreement for employment.

I understand that this application will remain active for only 30 days. At the end of that period, should I not be hired by Facility Solutions Group, and I still wish to be considered for employment, I must re-apply, and fill out a new application.

I understand that Facility Solutions Group does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by any applicable state, local or federal law.

Applications which are improperly filled out will be rejected.

I certify that I have read, fully understand and accept all terms of the foregoing applicant statement.