Last Name                                               First                                                              Middle

Please specify the type of work you are interested in:___________________________________

PROFESSIONAL REGISTRATION, LICENSURE, OR CERTIFICATION (i.e. First Aid, CPR,etc.)

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    

EXPERIENCE

LIST MOST RECENT EXPERIENCE FIRST - ACCOUNT FOR ANY PERIODS OF

UNEMPLOYMENT, INCLUDE ANY VOLUNTEER EXPERIENCE. Please note if they should not be contacted.

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.