EMPLOYMENT APPLICATION
THE HOUSTONIAN CAMPUS, LTD. IS AN EQUAL OPPORTUNITY EMPLOYER.
Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, disability, military service, or any other legally protected status.
NO APPLICATION WILL BE CONSIDERED UNLESS ALL INFORMATION REQUESTED ON THIS FORM IS COMPLETED IN FULL, EVEN IF YOU HAVE A RESUME. |
* Indicates a required field. |
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PERSONAL INFORMATION |
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| * LAST NAME |
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| * FIRST |
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| MIDDLE: |
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| * EMAIL ADDRESS |
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| ADDRESS |
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| CITY |
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| STATE |
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| ZIP CODE |
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| HOME PHONE |
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| OTHER PHONE |
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| ARE YOU AT LEAST 18? |
Yes
No |
| IF NOT, HOW OLD ARE YOU? |
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| * POSITION APPLYING FOR (Must be more than 4 letters) |
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| HAVE YOU EVER BEEN EMPLOYED HERE BEFORE? |
Yes
No |
| HAVE YOU EVER APPLIED HERE BEFORE? |
Yes
No |
| DATE AVAILABLE |
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| * RATE DESIRED$ |
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| MAY WE CONTACT YOUR PRESENT EMPLOYER? |
Yes
No |
| ARE YOU AVAILABLE TO WORK: |
FULL TIME
PART TIME
SEASONAL
ON-CALL |
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WORK HISTORY |
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| * HOW MANY POSITIONS HAVE YOU HAD IN THE LAST 3 YEARS? |
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| EMPLOYER NAME (Current/Most Recent) |
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| EMPLOYER ADDRESS |
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| CITY |
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| STATE |
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| ZIP |
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| PHONE NUMBER |
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| JOB TITLE |
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| SUPERVISOR |
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| DATES OF EMPLOYMENT (MONTH/YEAR) |
to
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| START RATE$ |
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| END RATE$ |
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RESPONSIBILITIES |
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| REASON FOR LEAVING |
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| ARE YOU ELIGIBLE FOR REHIRE? |
YES
NO |
EXPLAIN ANY GAPS IN EMPLOYMENT BETWEEN THIS JOB AND YOUR PREVIOUS JOB |
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| EMPLOYER NAME (Previous) |
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| EMPLOYER ADDRESS |
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| CITY |
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| STATE |
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| ZIP |
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| PHONE NUMBER |
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| JOB TITLE |
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| SUPERVISOR |
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| DATES OF EMPLOYMENT (MONTH/YEAR) |
to
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| START RATE$ |
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| END RATE$ |
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RESPONSIBILITIES |
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| REASON FOR LEAVING |
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| ARE YOU ELIGIBLE FOR REHIRE? |
YES
NO |
EXPLAIN ANY GAPS IN EMPLOYMENT BETWEEN THIS JOB AND YOUR PREVIOUS JOB |
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| EMPLOYER NAME (Previous) |
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| EMPLOYER ADDRESS |
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| CITY |
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| STATE |
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| ZIP |
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| PHONE NUMBER |
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| JOB TITLE |
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| SUPERVISOR |
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| DATES OF EMPLOYMENT (MONTH/YEAR) |
to
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| START RATE$ |
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| END RATE$ |
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RESPONSIBILITIES |
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| REASON FOR LEAVING |
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| ARE YOU ELIGIBLE FOR REHIRE? |
YES
NO |
EXPLAIN ANY GAPS IN EMPLOYMENT BETWEEN THIS JOB AND YOUR PREVIOUS JOB |
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| EMPLOYER NAME (Previous) |
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| EMPLOYER ADDRESS |
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| CITY |
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| STATE |
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| ZIP |
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| PHONE NUMBER |
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| JOB TITLE |
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| SUPERVISOR |
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| DATES OF EMPLOYMENT (MONTH/YEAR) |
to
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| START RATE$ |
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| END RATE$ |
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RESPONSIBILITIES |
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| REASON FOR LEAVING |
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| ARE YOU ELIGIBLE FOR REHIRE? |
YES
NO |
EXPLAIN ANY GAPS IN EMPLOYMENT BETWEEN THIS JOB AND YOUR PREVIOUS JOB |
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EDUCATION/SKILLS |
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LANGUAGES FLUENT IN
(If relevant to the job) |
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COMPUTER SKILLS: |
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HOW WERE YOU REFERRED TO US? |
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DO YOU HAVE ANY RELATIVES EMPLOYED WITH THE REDSTONE COMPANIES? |
YES
NO |
| IF YES, PLEASE LIST: |
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PLEASE INDICATE ANY DAYS, TIMES, OR SHIFTS YOU ARE UNABLE TO WORK |
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IF HIRED, CAN YOU PROVE THAT YOU ARE AUTHORIZED TO WORK IN THE UNITED STATES? Proof of eligibility to work in the United States will be required before an individual can begin employment. |
YES
NO |
HAVE YOU EVER BEEN CONVICTED OF ANYTHING OTHER THAN A TRAFFIC VIOLATION? Mark yes if you have been convicted of a DWI offense. |
YES
NO |
| IF YES, PROVIDE DATE OF CONVICTION, NAME OF OFFENSE, LOCATION, AND SENTENCE RECEIVED: |
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HAVE YOU EVER BEEN GIVEN A DEFERRED ADJUDICATION OR PLEAD GUILTY OR NO CONTEST FOR ANYTHING OTHER THAN A TRAFFIC VIOLATION? Mark yes if you have ever been given a deferred adjudication or plead guilty or no contest for a DWI offense. |
YES
NO |
| IF YES, PROVIDE DATE OF COMMENCEMENT AND END OF DEFERRED ADJUDICATION OR DATE OF PLEA IF YOU PLEAD GUILTY OR NO CONTEST, AND PROVIDE THE NAME OF OFFENSE, LOCATION, AND SENTENCE RECEIVED. |
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(A conviction record does not necessarily disqualify an applicant from employment.) |
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PERSONAL REFERENCES |
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| NAME |
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| RELATION |
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| PHONE NUMBER |
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| NAME |
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| RELATION |
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| PHONE NUMBER |
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| NAME |
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| RELATION |
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| PHONE NUMBER |
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JOB APPLICATION AGREEMENT AND CERTIFICATION
As an applicant of The Houstonian Campus, Ltd., I agree to the following:
- That the information contained in the application and accompanying documents is true in all respects. I authorize the Company to investigate thoroughly my work and personal history and verify all the information provided to the Company. I authorize all individuals, schools, and employers named in the application (except my current employer if so noted) to provide any information, personal or otherwise, requested about me. I release all parties from all liability for any damage that may result from furnishing information to the Company. A copy or telefax copy of this authorization may be relied upon as if it were an original document.
- I understand that nothing contained in the employment application or in the granting of an interview is intended to create an employment contract between the Company and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon this Company unless made in writing.
- I acknowledge that if I need reasonable accommodation in either the application process or employment I will bring my request to the Human Resources department. This Company reserves the right to require medical documentation concerning the need for accommodation.
- I understand that if employed, I am required to abide by all policies, rules and regulations of the Company. I also understand that the Company may revise its policies, rules and regulations, in whole or in part, at any time.
- I understand that this Company has a policy against drug and alcohol abuse, which includes random testing, and reserves the right to revise policies or procedures, in whole or in part, at any time.
- I understand that this application may be considered for a maximum of 60 calendar days. After that time, if I have not heard from the Company and still wish to be considered for employment, it will be necessary for me to reapply by completing a new application.
I CERTIFY THAT ALL STATEMENTS IN THIS APPLICATION ARE TRUE AND UNDERSTAND THAT IF I PROVIDE FALSE OR MISLEADING INFORMATION OR WILLFULLY OMIT INFORMATION IN THIS APPLICATION, ON MY RESUME, DURING MY INTERVIEW, OR DURING MY EMPLOYMENT, I MAY BE DENIED EMPLOYMENT OR, IF DISCOVERED AFTER HIRE, BE SUBJECT TO DISCIPLINE, UP TO AND INCLUDING IMMEDIATE TERMINATION OF EMPLOYMENT.
IN ADDITION, I ACKNOWLEDGE THAT IF I AM EMPLOYED BY THE COMPANY, MY EMPLOYMENT WILL BE AT-WILL, AND THAT I OR THE COMPANY MAY TERMINATE MY EMPLOYMENT AT ANY TIME, FOR ANY REASON OR NO REASON, WITH OR WITHOUT CAUSE OR NOTICE. |
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