EMPLOYMENT APPLICATION

 

 

Employer:                  South Coast Rides, LLC 

Address:                    1420 First Street

City/State/Zip:           Rosenberg, Texas 77471

Telephone:                  (281)341-9200

Fax:                            (281)341-9200

 

It is the policy of South Coast Rides, LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

 

 

Applicant Name:        ___________________________________________

Address:                    ___________________________________________

City/State/Zip:           ___________________________________________

                                                     

Daytime phone:    ____________________        Evening phone:    ____________________             

Social Security Number:     ___________________________  

 

Who should be contacted if you are involved in an emergency?

 

Contact Name:          ___________________________________________

Relationship to you:    ___________________________________________

Address:                    ___________________________________________

City/State/Zip:           ___________________________________________

Daytime phone:    ____________________        Evening phone:    ____________________             

 

Job Position Applied For:   ____________________________________

 

 

Are you at least 18 years old?  Yes _____ No_____      Date of birth: _________________

 

 

Driver's License Number:    ___________________________

What state issued your license?    ______________________

 

 

Are you willing to work any shift, including nights and weekends?          ______ Yes        ______ No

If no, please state any limitations:

________________________________________________

 

 

If you are offered employment, when would you be available to begin work?

____________________________________

 

Are you legally eligible for employment in the United States?                  ______ Yes        ______ No   

 

 

Are you able to perform the essential functions of the job position with

or without reasonable accommodation?                ______ Yes              ______ No  

What reasonable accommodation, if any, would you require?

______________________________________________________________

 

Have you ever been convicted of any crime?

______ Yes          ______ No            If yes, please describe:

________________________________________________

 

THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.

 

 

Applicant Employment History: List your current or most recent employment first.

 

Employer Name:        ___________________________________________

Address:                    ___________________________________________

City/State/Zip:           ___________________________________________

Job Duties:                ___________________________________________

Reason for Leaving:   ___________________________________________

Dates of Employment (Month/Year):     _____________________________

 

Employer Name:        ___________________________________________

Address:                    ___________________________________________

City/State/Zip:           ___________________________________________

Job Duties:                ___________________________________________

Reason for Leaving:   ___________________________________________

Dates of Employment (Month/Year):     _____________________________

 

Employer Name:        ___________________________________________

Address:                    ___________________________________________

City/State/Zip:           ___________________________________________

Job Duties:                ___________________________________________

Reason for Leaving:   ___________________________________________

Dates of Employment (Month/Year):     _____________________________

 

 

Applicant's Education and Training:  List your education and training.

 

High School Name and Address

____________________________________________________________

Last Grade?  ____ 9  ____ 10  ____ 11  ____ 12             Diploma?    ______ Yes  ______ No

 

College Name and Address

____________________________________________________________

Did you receive a degree?   ______ Yes     _____ No        If yes, degree received:  ___________

 

Other Training (graduate, technical, vocational):

____________________________________________________________

 

Awards, Honors, Special Achievements:

____________________________________________________________

 

 

 

Applicant's Skills:  Check those skills that you have.  List any other skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill.
 (1 represents poor ability, while 5 represents exceptional ability.)

                                                                                                                                       Ability or

      Skill                                                                              Years of Experience                 Rating

[     ]  Body Work                                                      __________________         1   2   3   4   5

[     ]  Paint                                                                 __________________         1   2   3   4   5

[     ]  Fabrication                                                       __________________         1   2   3   4   5

[     ]  Upholstery                                                        __________________         1   2   3   4   5

[     ]  Mechanical                                                       __________________         1   2   3   4   5

[     ]  Welding                                                            __________________         1   2   3   4   5

 ____________________________                        __________________          1   2   3   4   5

 ____________________________                        __________________          1   2   3   4   5

 

 

References:  List any two people who would be willing to provide a reference for you.

 

Name:                 ___________________________________

Address:              ___________________________________

City/State/Zip:     ___________________________________

Telephone:           _______________________

Relationship:        _______________________

 

Name:                 ___________________________________

Address:              ___________________________________

City/State/Zip:     ___________________________________

Telephone:           _______________________

Relationship:        _______________________

 

 

Please provide any other information that you believe should be considered:

____________________________________________________________

____________________________________________________________

 

 

CERTIFICATION

 

I certify that the information provided on this Application is truthful and accurate.  I understand that providing false or misleading information will be the basis for rejection of my Application, or if employment commences, immediate termination.

 

I authorize South Coast Rides, LLC to contact former employers and educational organizations regarding my employment and education.  I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades.  I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

 

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be entirely voluntary in nature.  In other words, with appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice.  Similarly, my employer would have the same right.  Moreover, no agent, representative, or employee of South Coast Rides, LLC, except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship.

 

 

 

NOTE:  All new hires at South Coast Rides, LLC are subject to a 90 day probationary employment period.  During that time, your work performance and overall behavior will be evaluated.  If, during that probationary period, the management of South Coast Rides, LLC decides that you do not have the necessary job or personal skills to justify continued employment, your employment will be terminated.  There are no exceptions to this rule.

 

 

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND PROBATIONARY RULES AND I UNDERSTAND AND AGREE TO ITS TERMS.

 

 

____________________________________                        _______________

APPLICANT SIGNATURE                                                    DATE

 

 

 

 

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