EMPLOYMENT APPLICATION

* = required information

* Position(s) applied for (check all that apply) :

DR Investment Properties - Virtual Assistant

DR Investment Properties - Property Scout

DR Investment Properties - Joint Venture Partner

Radiant New Horizon Homes/Exit New England Realty Advisors - Sales Agent

Radiant New Horizon Homes/Exit New England Realty Advisors - Office/Sales Manager

Other :

* First Name :

Middle Name :

* Last Name :

Maiden Name or Other Aliases :

* Date Of Birth (mm/dd/yyyy) :

Social Security Number (###-##-####) :

* Phone (###-###-####) : Invalid format.

Alternate Phone : Invalid format.

Best Time To Call : Morning Afternoon Evening N/A - Do Not Call

* E-mail Address :

Fax Number : Invalid format.

* Current Address :

* City :

* State : AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY

* Zip Code :

How long have you been at this address ? 0-1 years 1-2 years 2-3 years 3-4 years 4-5 years 5-6 years 6 or more years

Previous Address :

Previous City :

Previous State : AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VT WA WI WV WY N/A

Previous Zip Code :

How long at previous address : N/A 0-1 years 1-2 years 2-3 years 3-4 years 4-5 years 5-6 years 6 or more years

* Days Available To Work :

* Number of hours available to work per week :

* Authorized to work in the U. S. ? Yes No

(Proof of eligibility will be required if hired.)

EDUCATION

High School :

Address :

Years Completed :

Diploma/GED :

_______________________________________________

College :

Address :

Years Completed :

Major/Degree/Diploma :

_______________________________________________

Trade School :

Address :

Years Completed :

Major/Degree/Diploma :

_______________________________________________

Other Educational Institution Name :

Address :

Years Completed :

Major/Degree/Diploma :

CRIMINAL

* Have you ever been convicted of a crime ? Yes No

If answered yes above, please explain date(s) and details :
(nature of conviction(s), sentence(s) imposed, etc.)

PERSONAL REFERENCES (other than relatives)

Name :

Phone :

Relationship :

Address :

_____________________________

Name :

Phone :

Relationship :

Address :

_____________________________

Name :

Phone :

Relationship :

Address :

WORK EXPERIENCE

(Please list your work experience for the past 10 years with most recent first.)

Employer :

Phone :

Address :

Position :

Dates of Employment :

Duties performed, skills used or learned, advancements or promotions :

Reason for leaving :

________________________________________________________________

Employer :

Phone :

Address :

Position :

Dates of Employment :

Duties performed, skills used or learned, advancements or promotions :

Reason for leaving :

________________________________________________________________

Employer :

Phone :

Address :

Position :

Dates of Employment :

Duties performed, skills used or learned, advancements or promotions :

Reason for leaving :

________________________________________________________________

May we contact your current employer ? Yes No

Duties performed, skills used or learned, advancements or promotions :

MILITARY

Have you ever been in the military ? Yes No

Are you a member of the National Guard ? Yes No

* Where Did You Hear About Us ? Other website Friends or Neighbor Craig's List Google Zillow FaceBook Trulia.com Other Referral Unknown Other Search Engine Other Rent-To-Own-CT.net site

Additional Comments :

DISCLOSURES

I declare that all of the above information is accurate and correct. I authorize complete verification of this employment application.

I understand that DR Investment Properties, Radiant New Horizon Homes and United Credit Education Services are Equal Opportunity Employers (EOE) and will consider this application for employment.

I understand the EOE will not discriminate race, color, religion, gender, sexual orientation, national origin, citizenship, age or disability.

I further understand that if information contained in this application contains misleading, erroneous, false or deceptive information, I will not be considered for employment.

Submission of this form acknowledges understanding of and agreement with the Disclosures stated above.

This website is protected with SSL security to protect against hackers. All info is secure.

Submit Cancel