Employment Application

Today’s Date_____________________________________

Full Name________________________________________

Street Address_____________________________________

City, State, Zip__________________________________

Phone –Home__________________ Cell____________________

If Hired, Can you present proof of U.S. Citizenship or proof of your legal right to live and work in this country?                                               Yes_____ No______

Do you have any violations against your driver’s license?         Yes_____ No______

Do you have SR22 Insurance?                                                 Yes_____ No______

Have you ever been convicted of a felony, DUI or DLS?           Yes_____ No______

Have you completed High School or GED                               Yes_____ No______

How were you referred to Prime One Handyman Services?

___________________________________________________________

To complete your application, you must provide a resume including your

EMPLOYMENT HISTORY and at least three (3) REFERENCES

I certify that all statements on this application and in my resume are         true and correct.

I understand that any misrepresentation of facts will disqualify me for employment or I will be discharged at anytime if this company employs me. I authorize investigation of any and all statements contained in this application as may be necessary.

Signature________________________________

Date____________________________________

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