Location Applying to: *
Name:*
Address:*
E-mail: (yahoo.com are not supported. Please use alternative email address.)*
Phone:*
-
Date available to start:*
Are you 18 or over?:*
How many hours per week?:*
High School:*
School 1:
School 2:
School 3:
Company 1 Name:
Company 1 Start Date:
Company 1 Start Pay:
Company 1 Job Title:
Company 1 Times Absent:
Company 1 Supervisor:
Company 1 Phone:
-
Company 1 May we contact?:
Company 1 Address:
Company 1 End Date:
Company 1 End Pay:
Company 1 Reason for leaving:
Company 2 Name:
Company 2 Start Date:
Company 2 Start Pay:
Company 2 Job Title:
Company 2 Times Absent:
Company 2 Supervisor:
Company 2 Phone:
-
Company 2 May we contact?:
Company 2 Address:
Company 2 End Date:
Company 2 End Pay:
Company 2 Reason for leaving:
Company 3 Name:
Company 3 Start Date:
Company 3 Start Pay:
Company 3 Job Title:
Company 3 Times Absent:
Company 3 Supervisor:
Company 3 Phone:
-
Company 3 May we contact?:
Company 3 Address:
Company 3 End Date:
Company 3 End Pay:
Company 3 Reason for leaving:
Please explain any gaps in employment history:

Driving Record

If you are applying for a position that requires a driver's license to perform the essential duties of the job, please answer the following:

Do you have a valid driver's license:*
License No:*
Have you had any traffic violations in the past 5 years?*
If yes, state date and offense:*
Has your license ever been suspended or revoked?*
If Yes, give date, nature of offense(s) and where convicted*:*
During the past 10 years, have you been convicted of a crime, misdemeanor/felony including under the influence of intoxicants?:*
If Yes, give date, nature of offense(s) and where convicted:*

1. I declare that all statements and answers in this application are true and complete. I also agree that if employed, any untruth, misleading answer, omission, concealment or failure to answer any question fully, completely and accurately will be grounds for terminating my employment.
2. I authorize Tan Pro or a Tan Pro agent to investigate my references, to communicate with my former employers concerning same, make an independent investigation of my character, conduct, employment record, driving record and to keep and preserve records of such investigations.
3. If employed, I agree that upon termination of my employment I will return all company property and records in my possession.
4. If employed, I agree to read and comply with Company rules, regulations and policies.
5. It is mutually understood and agreed that any employment I accept is not confined to a fixed term and may be ended by either party at-will, with or without cause or prior notice. No representatives of TanPRO has authority to make any contrary agreement.
6. I understand that Federal Law prohibits the employment of illegal aliens. All persons hired must submit satisfactory proof of employment authorization. Failure to submit same within the required time shall result in immediate employment termination.
7. I hereby give Permission to TanPro to periodically tape record my voice on phone calls made to this office for educational purposes.

Agree to terms:*