Employment Application

PLEASE READ CAREFULLY
Note: Fields marked with a * require an answer. Please use "N/A" for "not applicable" if necessary. Applicants may be required to complete and sign a paper application for employment upon interview.
Attach Resume:
*Email:
Applying for:

Applicant Information

*First Name:
*Last Name:
MI:
*Address:
Apartment/Unit #
*City
*State
*Zip
*Phone:
Referred By:
Date Available:
Salary Expected:
I can work:
 Weekends    Evening    Night
U.S. Citizen:
 Yes    No
If not, are you authorized to work in the U.S.?:
 Yes     No
Are you at least 18 years of age? Note: Must be 21 to be assigned as a driver.
 Yes     No
Are you willing to work weekends and be on-call when needed?
 Yes     No
*Have you used a different name than the one provided in the last seven (7) years?
 Yes   
 No
If yes, please list all names:
Languages Spoken:
*Have you ever worked for Leon's Signs?:
 Yes   
 No
If yes, when?:
------ To ------
Do you have any family member(s) working for the company?
 Yes   
 No
If yes, please list :
*Have you ever been convicted of a felony?
(You are not required to disclose information concerning convictions that have been annulled, expunged, impounded, sealed, pardoned, or statutorily eradicated. The fact that you have been convicted of a crime will not constitute an automatic bar to employment. Please respond to these inquiries completely and accurately.):
 Yes   
 No
If “yes”, please provide the date(s) and geographical location(s) of the conviction(s), the nature of the offense(s), and the type of rehabilitation received, if applicable:


Education

High School:
Address:
Graduate:
Yes No
Degree:
College:
Address:
Graduate:
Yes No
Degree:
Other:
Address:
Graduate:
Yes No
Degree:
Specialized training or skills (such as computer training, literacy, certifications or special licenses):

References

Please list three references not related to you, whom you have known at least one year.
Name:
Occupation:
Company:
Day Phone Numbers:
Relationship to you:
Address:
Name:
Occupation:
Company:
Day Phone Numbers:
Relationship to you:
Address:
Name:
Occupation:
Company:
Day Phone Numbers:
Relationship to you:
Address:

Employment History

Company Name:
Complete Address
(w/ City, State, Zip):
Phone:
Supervisor:
Job Title:
Title of position held, equipment/software used and major duties:
Starting Salary:
Ending Salary:
Start Date:
(mm/dd/yyyy)
 
End Date:
(mm/dd/yyyy)
 
Reason for Leaving:
May we contact your previous employer for a reference?
 Yes    No



Military Service

Start Date:
(mm/dd/yyyy)
End Date:
(mm/dd/yyyy)
Branch:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:

APPLICANTS WITH COMMERCIAL DRIVERS LICENSE MUST COMPLETE THE FOLLOWING

Provide the addresses of where you have resided for the last 3 years:

Dates:
Street Address:
City
State
Zip
Dates:
Street Address:
City
State
Zip
Dates:
Street Address:
City
State
Zip

CDL and Permits:

Type of License/Permit:
Issuing State:
Number:
Expiration Date:
Type of License/Permit:
Issuing State:
Number:
Expiration Date:
Type of License/Permit:
Issuing State:
Number:
Expiration Date:

Check all that apply and list length of experience:

 Buses
Years:
Months:
 Trucks
Years:
Months:
 Truck Tractors
Years:
Months:
 Semitrailers
Years:
Months:
 Full Trailers
Years:
Months:
 Pole Trailers
Years:
Months:

List ALL motor vehicle accidents you were involved in during the last 3 years:

List ALL motor vehicle accidents you were involved in during the last 3 years

List ALL motor vehicle violations (other than parking) received:


License suspension:

List IN DETAIL the facts and circumstances of any denial, revocation, or suspension of any license, permit, or privilege to operate a motor vehicle that has been issued. If none, please state that no such denial, revocation, or suspension has occurred:

Applicant's Statement

Notification and Agreement

DateI certify that all answers on this application, and all of the information provided on any attached resume, are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application and any information provided on an attached resume and give Leon's Signs, Inc. permission to contact schools, previous employers, references, credit reporting services and others, and release Leon's Signs, Inc. from any liability as a result of such contact. I understand that false or misleading information in, or omission from, this application and/or the attached resume is grounds for immediate withdrawal of an offer of employment and/or immediate discharge from Leon's Signs, Inc. upon discovery of such false or misleading information.

I am aware that Leon's Signs, Inc. requires a background check of my education, work, credit (if applicable), driving record, safety record and criminal history. I understand that additional background checks may be required. I agree to execute the appropriate release documents to permit the completion of any requisite background check.

I understand that Leon's Signs, Inc. requires a post-offer, pre-placement screening for drug or alcohol use and that the Company has a Substance Abuse Policy which includes random drug testing for some or all positions.

I further understand that if I decline to sign this certification or decline to take the screening for drug and alcohol use, or to execute the requisite release forms to allow a background check, the offer of employment will be withdrawn.

I understand and agree that, if hired, I will be required to provide documentation in accordance with the Immigration and Nationality Act, demonstrating that I am entitled to work in the United States as an employee of the Company.

I understand that Leon's Signs, Inc. maintains an employment-at-will policy, which means that my employment 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 neither completion of this application, nor subsequent employment of me by Leon's Signs, Inc. shall constitute an agreement or contract of employment between me and Leon's Signs, Inc.

This application was completed by me. I have read all of the above statements, or have had them read to me, and I understand them fully as indicated with my signature below.






Company Name:
Complete Address
(w/ City, State, Zip):
Phone:
Supervisor:
Job Title:
Title of position held, equipment/software used and major duties:
Starting Salary:
Ending Salary:
Start Date:
(mm/dd/yyyy)
 
End Date:
(mm/dd/yyyy)
 
Reason for Leaving:
May we contact your previous employer for a reference?
 Yes    No

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