Employment Application Ali Residential Services Ali Residential Services is an equal opportunity employer. All qualified applicants will be considered without regard to race, religion, creed, color, sex, national origin, age, handicap or ancestry as required by law.Personal InformationSocial Security Number(Required)Name(Required) First Middle Last Present Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Permanent Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Phone NumberAre you 18 years of age or older Yes No Are you legally entitled to hold employment in the United States? Yes No Have you ever been convicted of a felony or misdemeanor which has not been expunged from your record other than minor traffic violation? Yes No If "yes" where and for what offense(s) were you convicted?(Required)A conviction will not necessarily be a bar to employment, factors such as date, nature and number of offenses, age at the time of offense and rehabilitation as well as job duties will be consideredEmployment DesiredPositionDate you can startSalary desiredIndicate which days you can work, the earliest starting time and latest ending time.Dayearliest starting timelatest ending time Add RemoveExample: monday | 7:00 AM | 5:00 PM – Click on ‘+’ to add more linesEducationHigh SchoolName and location of High SchoolDid you graduate? Yes No No. of years attendedSubject studied and degree receivedCollege Name and location of CollegeDid you graduate? Yes No No. of years attendedSubject studied and degree receivedTrade, Business or Correspondence SchoolName and location of SchoolDid you graduate? Yes No No. of years attendedSubject studied and degree receivedEmployment experienceName and Address of EmployerFrom:Date (Month & Year)ToDate (Month & Year)Salary(Upon leaving)PositionReason for leavingName and Address of EmployerFrom:Date (Month & Year)ToDate (Month & Year)Salary(Upon leaving)PositionReason for leavingName and Address of EmployerFrom:Date (Month & Year)ToDate (Month & Year)Salary(Upon leaving)PositionReason for leavingReferencesListName & AddressPosition/BusinessYears acquainted Add RemoveClick on ‘+’ to add more lines If assistance is needed during any phase of the hiring or employment process, please advise.Consent(Required) I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, incomplete, false or misleading statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release all parties from all liability for any damage that may result fro furnishing same to you. I also authorize you to obtain information regarding my record with the bureau of motor vehicles if the job for which i am applying will require driving as part of my job duties I understand that pursuant to the company’s job application process I may be required to undergo drug testing, I understand that I will be disqualified from further employment consideration if I refuse to take or fail the drug test unless I can demonstrate that A)The test was erroneous: or B) Prior to taking the test i ceased using illegal drug and am now enrolled in a supervised rehabilitation program; or C) I am taking the drugs under the supervision of a licensed health care professional. In consideration of my employment, I agree to conform to company rules, regulations and policies, and agree that my employment and compensation can be terminated with or without cause, and with or without notice at any time, at the option of either the company or myself. I understand that the rules and regulations and any personnel manual do not constitute a contract of employment. Δ
