Elite Service Group LLC.

Employment Application

Elite Service Group (or the “Company”) is an equal employment opportunity employer. It is the Company’s policy to not unlawfully discriminate against any applicant or employee on the basis of race, color, religion, creed, partnership status, caregiver status, credit history, status as a victim of sexual assault or stalking, unemployment status, sex (including pregnancy, lactation, childbirth or related medical conditions), sexual orientation, marital status, gender expression or identity, age (18 and over), sexual and other reproductive health decisions, national origin or ancestry, citizenship, physical or mental disability, familial status, genetic information (including testing and characteristics), veteran status, status as a victim of domestic violence, uniformed servicemember status, certain arrest or conviction records, or any other consideration made unlawful by applicable federal, state, or local laws. The Company also prohibits harassment of applicants and employees based on any of these protected categories.

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General Information

Please complete all requested information.

First Name

Middle

Last Name

Street Address

City

State

Zip

Have you ever used any other name(s) which is (are) necessary for us to know in order for us to verify your employment or educational record?

If yes, please provide the other name(s)

Have you previously worked for or applied for a position with the Company in any of our locations either as an employee or through an employment agency?

If yes, please explain when and, if employed, in what capacity

Are you related to or in a close personal relationship with anyone now employed at the Company? (An answer of “Yes” will not automatically disqualify you from the position for which you are applying.)

If yes, please explain when and, if employed, in what capacity

Position

Minimum Salary Desired

Date Available for Work

Are you at least 18 years old?

Telephone (Home)

Telephone (Cell)

What days and hours are you available to work? (please identify all days and times) Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Are you available to work overtime as needed? Weekdays, yes Weekends, yes

Permission to Work

Are you legally authorized to work in the United States?

Do you require sponsorship for employment visa status (e.g. H-1B status)?

Referral Information

How did you learn about the Company?

Referral (Name)

Other

Employment Agency (state name)

Posting/Ad

Work Experience

Company Name

Telephone

Address

Employed (Month and Year)

Name, Title, and Phone Number of Supervisor

Job Title, and Work Responsibilities

Reason for Leaving

Add Company

Company Name

Telephone

Address

Employed (Month and Year)

Name, Title, and Phone Number of Supervisor

Job Title, and Work Responsibilities

Reason for Leaving

Remove Company Add Company

Company Name

Telephone

Address

Employed (Month and Year)

Name, Title, and Phone Number of Supervisor

Job Title, and Work Responsibilities

Reason for Leaving

Remove Company Add Company

Company Name

Telephone

Address

Employed (Month and Year)

Name, Title, and Phone Number of Supervisor

Job Title, and Work Responsibilities

Reason for Leaving

Remove Company

All employers including your current employer may be contacted to verify the information you provide. May we contact your current employer prior to any offer of employment?

Professional References

Individuals not related to you. Business references preferred.

Name

Occupation

Phone

Address

Years Known and Capacity

Add Reference

Name

Occupation

Phone

Address

Years Known and Capacity

Remove Reference Add Reference

Name

Occupation

Phone

Address

Years Known and Capacity

Remove Reference Add Reference

Name

Occupation

Phone

Address

Years Known and Capacity

Remove Reference

Education & Training

Please include name, street, city, state and zip code for each school.

Graduate

College

High School

Business/Trade/Technical

Additional Employment Inquiries

I certify that all of the information furnished on this application and during the application process is true, complete and correct to the best of my knowledge. I understand that any misrepresentation or omission of facts called for may result in refusal to hire or, if hired, may result in my dismissal at any time regardless of when the false answer or omissions are discovered.

I recognize that this employment application is not an offer of employment. I agree that if I am hired by the Company, I will be an at-will employee, meaning that either the Company or I may end the employment relationship at any time with or without cause or notice. I understand that only the owner of the Company, and no manager, supervisor, or other representative of the Company, has authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the at-will employment relationship, and with respect to any agreement entered into by the owner, any such agreements must be in writing and signed by the owner and by me or my authorized representative.

I further understand and agree that, except for my at-will employment status, if hired, my wages, hours, working conditions, job assignment(s), and compensation rate(s) will be subject to change by the Company.

I understand that if I am offered employment, (1) I will be required to sign an arbitration agreement as a condition of my employment, and (2) I may be required to sign a non-solicitation and non-disclosure agreement, as a condition of the employment.

I understand that the Company may share the information contained in this application with other Company employees for employment and administrative purposes and hereby consent to such transfer.

I hereby authorize, to the extent allowed by applicable federal state and local laws, the Company to conduct its own investigation of my references, employment history and education and, further, authorize the references and prior employers I have listed to disclose to the Company information related to my employment history and qualifications for the position for which I am applying, without giving me prior notice of such disclosure. In addition, I hereby release the Company, my former employers and all other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand and expressly agree that if employed by the Company, storage areas provided for me (locker, desk, etc.) are open to investigation by the Company without prior notice to me.

ANY CLAIM OR LAWSUIT RELATING TO MY EMPLOYMENT OR POTENTIAL EMPLOYMENT WITH THE COMPANY INCLUDING THOSE RELATING TO MY APPLICATION FOR EMPLOYMENT, ANY CONDUCT OCCURRING DURING MY EMPLOYMENT, AND THE TERMINATION OF MY EMPLOYMENT (AND INCLUDING ANY STATUTORY DISCRIMINATION CLAIMS) – MUST BE FILED NO MORE THAN SIX (6) MONTHS AFTER THE DATE OF THE EMPLOYMENT ACTION OR THE CONDUCT THAT IS THE BASIS FOR THE CLAIM OR LAWSUIT. I UNDERSTAND THAT CERTAIN LAWS MAY PROVIDE A LONGER PERIOD OF TIME IN WHICH TO FILE A CLAIM OR LAWSUIT AND I WAIVE ANY SUCH LONGER PERIOD. TO BE CLEAR, THE INTENT OF THIS PARAGRAPH IS TO CONTRACTUALLY SHORTEN THE STATUTE OF LIMITATIONS PERIODS OF FEDERAL, STATE, LOCAL, AND COMMON LAW CLAIMS THAT HAVE STATUTES OF LIMITATIONS THAT ARE LONGER THAN SIX MONTHS.

I HEREBY AGREE TO WAIVE MY RIGHT TO A JURY TRIAL in any claim or lawsuit relating to my employment or potential employment with the Company – including those relating to my application for employment, any conduct occurring during my employment, and the termination of my employment (and including any statutory discrimination claims). I acknowledge and agree that this is a knowing and voluntary waiver of my right to a jury trial.

My signature below certifies that I agree to be bound by the terms and conditions stated in this application, which contains all the understandings between the Company and me concerning the topics addressed herein, and supersedes any prior inconsistent understandings between the Company and me on such issues.

APPLICANT'S SIGNATURE

DATE

This application will only be considered for 30 days. If you have not been hired within 30 days of submitting this applicationShould you wish to be considered for employment, you must complete another application.

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careers

Employment Application

General Information

Permission to Work

Referral Information

Work Experience

Professional References

Education & Training

Job-Related Skills and Qualifications

Additional Employment Inquiries