APPLICATION FOR EMPLOYMENT
AN EQUAL OPPORTUNITY EMPLOYER
TIGER FAMILY ENTERPRISES INC.
460 Business Park Way
Suite
D
Royal Palm Beach, FL 33411
DATE:
Street Address
City
State
Zip
Telephone Number:
(home)(_____)________________ (cell) (______)________________
Please specify the type of work you are interested in:___________________________________
Are you legally eligible
for employment in the United States? [ ] Yes [ ] No
Are you over 18 years
of age? (If no, a work permit will be required)
[ ] Yes [ ] No
For purposes of determining driver eligibility under our auto insurance policy through State Farm Insurance, are you under the age
of 25? [ ] Yes [ ] No
| EDUCATION
(Name & Location)
| MAJOR/ DEGREE
| YRS. COMPLETED
| GRADUATE? |
| High School: | |
| |
| College: | | | |
| College: |
| | |
| Other: | | | |
PROFESSIONAL
REGISTRATION, LICENSURE, OR CERTIFICATION (i.e. First Aid, CPR,etc.)
| TYPE:
| NUMBER: | STATE: | EXP. DATE: |
| |
| | |
|
| | | |
MILITARY SERVICE (complete this section if you served in the U.S. Armed Service)
Branch of Service
From
To Describe Training
Received
Relevant to Position Desired
Rank at Discharge
LIST MOST RECENT EXPERIENCE
FIRST - ACCOUNT FOR ANY PERIODS OF
UNEMPLOYMENT, INCLUDE ANY VOLUNTEER EXPERIENCE. Please note if they should not be contacted.
| Business/Company Name | Telephone: ( )
(Be sure to indicate area code) |
| Address (Street address, city, state and zip):
| Month/Year Employed: From:
To: |
| Supervisor:
| Hourly/Annual Pay Rate Start:
Last: |
| Brief
Description of Duties: |
Reason for Leaving:
|
| Business/Company Name | Telephone: ( ) (Be sure to indicate area code)
| |
| Address (Street address, city, state
and zip): |
Month/Year Employed:
From:
To: |
| Supervisor:
| Hourly/Annual Pay Rate
Start:
Last: |
| Brief
Description of Duties: | Reason
for Leaving: |
| Business/Company Name |
Telephone: ( )
(Be sure to indicate
area code) |
| Address
(Street address, city, state and zip): | Month/Year Employed: From:
To: |
| Supervisor:
| Hourly/Annual Pay Rate Start:
Last: |
| Brief
Description of Duties: |
Reason for Leaving:
|
| Business/Company Name | Telephone: ( ) Be sure to indicate area code |
| Address (Street address, city, state and zip): | Month/Year Employed: From:
To: |
| Supervisor:
| Hourly/Annual Pay Rate Start:
Last: |
| Brief
Description of Duties: |
Reason for Leaving:
|
| Business/Company Name | Telephone: ( ) (Be sure to indicate area code)
|
| Address (Street address, city, state
and zip): |
Month/Year Employed:
From:
To: |
| Supervisor:
| Hourly/Annual Pay Rate Start:
Last: |
| Brief
Description of Duties: |
Reason for Leaving:
|
Current Pay Rate: $__________[] Hr. [] Annual Desired: $__________
Have you ever been dismissed or asked to resign from a position?
[ ] Yes
[ ] No
If yes, please explain:____________________________________________________________
_____________________________________________________________________________
Have you ever been convicted of or plead guilty to a crime, other than minor traffic violations? [ ] Yes [ ] No
If yes, please explain: (a conviction does not necessarily disqualify an applicant)___________________________
________________________________________________________________________________________________
Responses to the questions below will be used to determine your driver
eligibility in determining whether you meet the underwriting criteria or be acceptable as a driver under the Insurance requirements:
Do you currently hold a valid FLORIDA driver’s license?
[ ] Yes
[ ] No
If yes, provide driver's license number:_______________
State:_______ Month/Year of Expiration:______
Within the last 3 years:
1. Have you had two or more moving
violations?
[
] Yes, (indicate how many: ____)
[ ] No
2. Have you been involved in two or more accidents? [ ]
Yes, (indicate how many: ____)
[ ] No
3. Have you had more
than one accident in any one year?
[ ] Yes, (indicate how many: ____) [
] No
4. Have you been cited for speeding
over 80 mph or 21 mph over the posted speed limit?
[ ] Yes [ ] No
5. Have you operated a motor vehicle without a license
or during a time of suspension/revocation? [ ] Yes [ ] No
6. Have you had a
citation/conviction for careless driving?
[ ] Yes [ ] No
*******THIS
SECTION MUST BE COMPLETED IN FULL FOR ALL POSITIONS THAT REQUIRE DRIVING*******
1.
I hereby affirm that the information provided in this application and/or resume or in interviews is true
and complete to the best of my knowledge. I also agree that falsified information
or significant
omissions may disqualify me from further consideration for employment and may be considered
justification for dismissal, if discovered at a later date.
2.
I understand that should I become employed with Tiger Family Enterprises Inc., this application does not constitute
an employment contract of any kind. Further, I can be terminated with or without cause,
at any time at the discretion of either New Avenues or myself with or without prior notice.
I understand also, that I am required to abide by all rules and regulations of Tiger Family Enterprises Inc..
3. I
understand that employment by Tiger Family Enterprises Inc. is conditional pending satisfactory reference checks and a satisfactory
criminal background investigation.
4. I
authorize persons, schools, my current employer (if applicable), and previous employers and
organizations named in this application and/or resume to provide any relevant information that may
be required, including the release of criminal and court records (whether privileged or not) to arrive
at an employment decision, and I release all parties from any possible damages resulting from
disclosing such information with or without prior written notice to me.
5.
I understand that if I am offered a job, I will be required to undergo drug screening at a time and place of Tiger
Family Enterprises, Inc.’s choice prior to the commencement of my employment. This will be at Tiger Family Enterprises’
expense. Should the results of that drug screen not be satisfactory, Tiger Family Enterprises may decline to employ me. I
also understand that Tiger Family Enterprises is a drug-free workplace and that employee’s use of drugs on the job or
working under the influence of drugs is strictly prohibited and is grounds for termination.
I understand that I may be required to take a random drug test at any time during my employment if I become an employee
of Tiger Family Enterprises.
6.
I understand that my driving record/history will be checked and considered if applying for a position
that requires me to drive. I understand that for positions in which
driving is required, I must meet
insurability
criteria.
7.
This application for employment shall be considered active for a period of time not to exceed ONE (1)
YEAR. Any applicant wishing to be considered for employment beyond this
time period should
inquire as to whether or not applications are being accepted at that time.
THIS AUTHORIZATION TO FURNISH INFORMATION IS EXECUTED IN CONSIDERATION OF MY POSSIBLE EMPLOYMENT WITH TIGER
FAMILY ENTERPRISES INC, AND SHALL SERVE AS A RELEASE OF ALL LIABILITY TO ALL PARTIES FURNISHING SUCH INFORMATION. A PHOTOCOPY OF THIS RELEASE SHALL BE CONSIDERED AS EFFECTIVE AND BINDING AS THE ORIGINAL
HAND EXECUTED COPY.
YOU MAY [ ]
YOU MAY NOT [ ]
CONTACT MY PRESENT EMPLOYER
I HEREBY ACKNOWLEDGE THAT I HAVE
READ THE ABOVE STATEMENT AND UNDERSTAND THE SAME.
