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Application

No question on this form is asked for the purpose of limiting or excluding an applicant employment because of race, color, sex, national origin, age, marital status, religion, disability, handicap, or criminal conviction.

Customer Service Respresentative Seasonal

Please check errors highlighted below in red.

Applicant Information

First Name (legal)*
MI
Last Name *

Street Address *

Permanent Address (if different than above)

City *
State *

Zip Code *
Country *

Phone *
Email *

Are you at least 18 years of age? * Yes No

Have you ever been employed at Mason Companies Inc.? * Yes No

If yes, when? From (mm/dd/yyyy)
To (mm/dd/yyyy)

Can you be legally employed in the United States? * (upon hire you will be required to furnish proof of employment eligibility) Yes No

Do you have any criminal convictions relating directly to the requirements of the position you are applying for? * Yes No

If yes, explain.

Date Available to Start *
Salary Expected *

Preferred Shifts (check all that apply) * Days
Evenings
Nights

Will you work on call, if necessary? * Yes No

Will you work other shifts in emergencies? * Yes No

Will you work holidays? * Yes No

Education

Name of High School/GED
Location

Last Year Completed
Diploma or Degree Awarded
GPA

Name of College/University
Location

Last Year Completed
Diploma or Degree Awarded
GPA

Major/Minor

Other (include Military)

Honors & Activities

Describe Specialized Training, Apprenticeship and Skills. * (include any training, skills, aptitudes and qualifications which you feel are relevant to the type of employment you are seeking at Mason Companies.)

List all equipment (office or trade) that you operate proficiently. *

Medical

For some positions, it may be required that employees possess certain physical capabilities. List any physical limitations which you feel may relate to your ability to perform job related functions. How could these limitations be accommodated?

Employment Record

Please list your most recent position first (including military) and next three or more previous positions.

Are you presently employed? *

If yes, may we contact your present employer? *

Most Recent Employer

Date of Hire *
End Date *

Name of Employer *
Address *

Telephone *

Your Position *
Last Supervisor *

Starting Salary *
Final Salary *

Description of Work Performed *

Reason for Leaving *

Next Previous Employer

Date of Hire
End Date

Name of Employer
Address

Telephone

Your Position
Last Supervisor

Starting Salary
Final Salary

Description of Work Performed

Reason for Leaving

Next Previous Employer

Date of Hire
End Date

Name of Employer
Address

Telephone

Your Position
Last Supervisor

Starting Salary
Final Salary

Description of Work Performed

Reason for Leaving

References - No Relatives

Please include three.

First Name *
Last Name *

Address *

Phone *
Occupation *

First Name *
Last Name *

Address *

Phone *
Occupation *

First Name *
Last Name *

Address *

Phone *
Occupation *

Applicant Statement

APPLICANT STATEMENT I certify that answers given herein are true and complete to the best of my knowledge. I hereby authorize investigation of all statements contained in this application and agree that if any misrepresentation has been made by me herein or the results of an investigation are not satisfactory for any reason, any offer of employment made to me may be terminated immediately without any obligation or liability to me other than for payment, at the rate agreed upon, for services actually rendered if I have been employed. In connection with my application for employment, I authorize Mason Companies, Inc., and any agent acting on its behalf, to conduct an inquiry as to my record of any or all of my former employers, references, and any or all educational institutions. Moreover, I hereby release Mason Companies, Inc., and any agent acting on its behalf, from any and all liability of whatsoever nature by reason of requesting such information from any person. I understand that I am required to abide by all rules, policies and regulations of the company. I understand that this application is not and is not intended to be a contract of employment. I acknowledge that I have read and understand the foregoing.
I acknowledge that I have read and understand the applicant statement.

Please check the errors above highlighted in red.