Date: Select Your Area: Select your location CantonCorneliaCummingDouglasvilleFive Forks/LilburnFlowery BranchGainesvilleLawrenceville Full Time or Part Time: Full Time Part Time Position Applying For: Select Position Management Associate Bed Cleaner First Name: Last Name: Email: Address: City: State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY ZIP: Phone: Date Available to Start: Are you 18 or over? Yes No Total Hours Available Per Week: If No, DOB Education High School: School1: School2: School3: Employment History Please list three (3) most recent jobs. (if not applicable, list U.S. Military or work performed on a volunteer basis) Company 1 Company: Address: Phone: Start Date: End Date: Times Absent: Job Title: Supervisor: May we contact? Yes No Start Pay: End Pay: Reason for Leaving: Company 2 Company: Address: Phone: Start Date: End Date: Times Absent: Job Title: Supervisor: May we contact? Yes No Start Pay: End Pay: Reason for Leaving: Company 3 Company: Address: Phone: Start Date: End Date: Times Absent: Job Title: Supervisor: May we contact? Yes No Start Pay: End Pay: Reason for Leaving: Please explain any gaps in employment history: What prompted you to apply at Sun City Tanning? In Emergency Notify: Phone: Address: Have you ever been disciplined for absenteeism or tardiness by a previous employer? Yes No If Yes, Explain Why: Have you ever been discharged or asked to resign by a previous employer? Yes No If Yes, Explain Why: DRIVING RECORD If you are applying for a position that requires a driver's license to perform the essential duties of the job, please answer the following: Do you have a valid driver's license? Yes No State: AL AK AZ AR CA CO CT DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY License No: Have you had any traffic violations in the past 5 years? Yes No If yes, state date and offense: Has your license ever been suspended or revoked? Yes No If yes, please explain: During the past 10 years, have you been convicted of a crime, misdemeanor/felony including under the influence of intoxicants? Yes No If Yes, give date, nature of offense(s) and where convicted*: 1. I declare that all statements and answers in this application are true and complete. I also agree that if employed, any untruth, misleading answer, omission, concealment or failure to answer any question fully, completely and accurately will be grounds for terminating my employment. 2. I authorize Sun City Tanning or a Sun City Tanning agent to investigate my references, to communicate with my former employers concerning same, make an independent investigation of my character, conduct, employment record, driving record and to keep and preserve records of such investigations. 3. If employed, I agree that upon termination of my employment I will return all company property and records in my possession. 4. If employed, I agree to read and comply with Company rules, regulations and policies. 5. It is mutually understood and agreed that any employment I accept is not confined to a fixed term and may be ended by either party at-will, with or without cause or prior notice. No representatives of Sun City Tanning has authority to make any contrary agreement. 6. I understand that Federal Law prohibits the employment of illegal aliens. All persons hired must submit satisfactory proof of employment authorization. Failure to submit same within the required time shall result in immediate employment termination. 7. I hereby give Permission to Sun City Tanning to periodically tape record my voice on phone calls made to this office for educational purposes. I agree
