Signature Services Corporation

Application For Employment

Please fill out this form COMPLETELY. If you have questions or want more information please contact:
Nancy Crouch: 214-466-2043

Personal Information

First name:
Last name:
Middle name:
Date:
Social Security #:
Telephone #:

Present Address:
City/Town:
State:
Zip Code:
Email:

Are you of the legal age to work?
Legally, are you eligible for employment in the U.S.A.?
(If yes, verification will be required upon employment.) Position(s) applied for :
Were you previously employed by us?
If yes, when?
If your application is considered favorably, on what date will you be available for work?

Please list any experiences, skills, or qualifications which will be of special benefit in the job for which you are applying. (Applicant should not list any information that Federal and/or State law precludes obtaining in the pre-employment stage.) Experiences,Skills, etc.

Education / Elementary School

School(s) Name/Address

Years Completed

Did You Graduate?

Education / High School

School(s) Name/Address

Years Completed

Did You Graduate?

Education /College

School(s) Name/Address

Course of Study
Did You Graduate?

Years Completed
List Diploma/Degree

School(s) Name/Address

Course of Study
Did You Graduate?

Years Completed
List Diploma/Degree

School(s) Name/Address

Course of Study
Did You Graduate?

Years Completed
List Diploma/Degree

Education /Other

School(s) Name/Address

Course of Study
Did You Graduate?

Years Completed
List Diploma/Degree

School(s) Name/Address

Course of Study
Did You Graduate?

Years Completed
List Diploma/Degree

School(s) Name/Address

Course of Study
Did You Graduate?

Years Completed
List Diploma/Degree

Present and Past Employment/ Most Recent First

Name /Address of Company
From: (Mo. / Yr.)
To: (Mo. / Yr.)

Type of Business
Weekly Starting Salary
Weekly Last Salary

Reason for Leaving
Name of Supervisor
Telephone Number

Describe the work you did

Name /Address of Company
From: (Mo. / Yr.)
To: (Mo. / Yr.)

Type of Business
Weekly Starting Salary
Weekly Last Salary

Reason for Leaving
Name of Supervisor
Telephone Number

Describe the work you did

Name /Address of Company
From: (Mo. / Yr.)
To: (Mo. / Yr.)

Type of Business
Weekly Starting Salary
Weekly Last Salary

Reason for Leaving
Name of Supervisor
Telephone Number

Describe the work you did

I hereby give permission to contact the employers listed above concerning my prior work experience.

If there is a particular employer(s), you do not wish us to contact, please indicate which one(s).

Personal References (Not former Employers or Relatives)

Name and Occupation

Mailing Address

Phone Number

Name and Occupation

Mailing Address

Phone Number

Name and Occupation

Mailing Address

Phone Number

PLEASE READ BELOW AND ANSWER YES OR NO

The facts set forth in my application for employment are true and complete. I understand that if employed, any false statement on this application may result in my dismissal. I further understand that this application is not Intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. I understand and agree that my employment is at-will and can be terminated by either party with or without notice, at anytime, for any reason or no reason. No one other than an officer of the Company has any authority to enter Into any agreement for employment for any specified period of time or to make any agreement contrary to the foregoing and then only in a writing signed by an officer.

Do you agree to the above terms?

To Applicant: READ THIS INTRODUCTION CAREFULLY BEFORE ANSWERING ANY QUESTIONS IN THIS BLOCKED-OFF AREA. The Civil Rights Act of 1964 prohibits discrimination in employment because of rade, color, religion, sex or national origin. Federal law also prohibits other types of discrimination such as age, citizenship, disability, veteran status, attainment of benefits, and participation in union activities. The laws of most states and many localities also prohibit some or all of the above types of discrimination as well as some additional types including, but not limited to, discrimination based upon ancestry, marital status, parental status, sexual orientation, or source of income. The Fair Credit Reporting Act imposes restrictions with respect to credit data. DO NOT ANSWER ANY QUESTION CONTAINED IN THIS BLOCKED-OFF AREA UNLESS THE EMPLOYER HAS CHECKED THE BOX NEXT TO THE QUESTION, thereby indicating that for the position for which you are applying the requested information is needed for a legally permissible reason including, without limitation, national security requirements, affirmative action, a bona fide occupational qualification or business necessity.

Previous Address:
City/Town:
State:
Zip Code:

Sex:
Height:
Weight:

Are you a citizen of the USA?
Were you in the US Armed Forces?
If yes, what branch?
Are you a Viet Nam Veteran?
Did you receive any training in the US Armed Forces that is relevant to the position applied for?

If yes, describe relevant training:

Are you eligible to be bonded?
Have you been convicted of a crime, in the past seven years?
(Excluding misdemeanors,summary,annulled, or expunged offenses sealed by a court. Conviction of a crime will not be an absolute bar to employment.)
If yes, describe situation in full:

You have been given a written job description listing the essential job functions of the position(s) for which you have applied. Please review the job description(s) and answer the following questions. (To review descriptions CLICK HERE)

Are you able to perform each of the job functions listed for each position applied for?
If no, list the functions you are unable to perform and explain why you are unable to perform them.

Please review your application, then click the SEND button to submit.