Prime Management - Employment Opportunities

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Application for Employment

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PRIME REALTY BUY OR SELL YOUR HOME WITH US

PRIME CONNECT

We are an equal opportunity employer and do not unlawfully discriminate in employment. Equal access to employment, services, and programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify the Human Resources Manager.

Position Desired

Date You Can Start

Salary Desired

Personal Information

First Name:

Last Name:

E-Mail Address

Social Security No.

Home Address:

APT. #:

City

State

Zip

Home Phone #:

Emergency Contact (Name & Phone #)

Drivers License #

Are you 18 years or older?

YES NO

Can you submit proof of legal employment authorization and identity?

YES NO

Are you employed now?

YES NO

If Employed, may we contact your present employer?

YES NO

Have you ever worked for this company before?

YES NO

Have you ever applied to this company before?

YES NO

Do you have any relatives working for this company?
If yes, Name:

YES NO

Have you been convicted of a crime?
If yes, please explain (a conviction will not automatically bar employment):

YES NO

Education

	Name and Location of School	Years Attended	Degree
High School
College
Technical Training

Service Record

Branch of Service	Rank	Discharge Date

Skills and Qualifications

Summarize any job-related training, skills, licenses, certificates, and/or other qualifications:

Employment History

Please provide all employment information for your last three employers, starting with the most recent.
Employer	Position Held
Address	Phone #
Job Description
Dates Employed: From: To: Salary:
Reason for Leaving
Employer	Position Held
Address	Phone #
Job Description
Dates Employed: From: To: Salary:
Reason for Leaving
Employer	Position Held
Address	Phone #
Job Description
Dates Employed: From: To: Salary:
Reason for Leaving

References

List three (3) reference names of persons not related to you.
Name	Phone Number	Years Known	Business



I certify that all information submitted in this application form, resume or interview is true ad complete and that I have not knowingly withheld, nor will I withhold, any information that would affect my application for employment. I understand that any inaccurate statement or misrepresentation or omission made by me on this application or during the interview process will be sufficient grounds for cancellation of this application or immediate termination of employment. I understand that PMGI is under no obligation to consider or reconsider this application at any time and that acceptance of my application does not constitute an offer of employment. I also understand and agree that Inquiries may be made with my previous employers, schools and colleges. I authorize any such person or agency to give you any and all information concerning my previous education and employment, including but not limited to, an assessment of my job performance, ability and fitness and/or any other information they may have, personal or otherwise. I also authorize PMGI to conduct a criminal background check and credit check, and release all parties from any and all liability, claims, or damages that may directly or indirectly result from furnishing the above information. Prior to my beginning work or during my employment, PMGI reserves the right to conduct pre-employment drug testing. Prior to beginning work with PMGI, I will be required to sign a covenant not-to-compete and/or confidentiality agreement. I represent and warrant to the PMGI that I am under no contractual or other restriction or obligation which would prevent me in any way from working with PMGI, including but not limited to, a covenant not-to-compete, confidentiality agreement, and/or trade secret agreement. If I believe that I am presently under such contractual obligation, I will provide a copy of such agreement to PMGI. I also understand and agree that no representative of PMGI 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, unless it is in writing and signed by . If employed, I understand and agree that my employment is "at-will" and may be terminated with or without cause or notice at my option or at the option of PMGI.