T & R Properties

Application for Employment

Consumer Disclosure

Use of Credit Reports for Employment

T&R Properties, Inc. may obtain a credit report on any consumer who has applied for or accepted employment with the company. The Company may use information contained in the consumer credit reports in making decisions related to employment with the company. This may include, but is not limited to, hiring, promotion, retention and termination.

Prior to procuring a consumer’s credit report of employment, T&R Properties will obtain the consumer’s written authorization. Before taking adverse action based in whole or in part on the report, the consumer will be provided with a copy of the report and a description in writing of the rights of the consumer under the Fair Credit Reporting Act.

Information from the Consumer report will not be used in violation of any applicable federal or state equal employment opportunity law or regulation.

Equal access to programs, services and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Human Resources Department.

Position(s) applied for:

Date of Application

Referral Source

Name of source (if applicable)

Personal Information:

Name

Email Address:

Address

City

State

Zip Code

Telephone # Mobile/Beeper/Other Phone # Social Security #

If necessary, best time to call you at home is?

May we contact you at work?

If yes, work number and best time to call

If you are under 18 and it is required, can you furnish a work permit?

If no, please explain

Have you submitted and application here before?

If yes, give date

Have you ever been employed here before?

If yes give dates From To

Are you legally eligible for employment in this country?

Date available for work

Type of employment desired

Will you relocate if job requires it?

Will you travel if job requires it?

Are you able to meet the attendance requirements of the position?

Will you work overtime if required?

If no, explain

Have you ever been bonded?

Have you been convicted of a crime in the last (7) years?

If yes, please explain

CONVICTION WILL NOT NECESSARILY BE A BAR TO EMPLOYMENT. EACH INSTANCE AND EXPLANATION WILL BE CONSIDERED IN RELATION TO THE POSITION FOR WHICH YOU ARE APPLYING.

Driver's license number if driving is a essential job function

State

Employment History:

Provide the following information for your past and current employers, assignment or volunteer activities, starting with that most recent (use additional sheets if necessary). Explain any gaps in employment in comments sections below.

Employer Telephone	Dates Employed
Address	To	From
Job Title	Hourly Rate/Salary
Immediate Supervisor and title	Starting	Final
Reason for leaving	Hourly or Salary?
May we contact for reference
Summarize the type of work preformed and job responsibilities

Employer Telephone	Dates Employed
Address	To	From
Job Title	Hourly Rate/Salary
Immediate Supervisor and title	Starting	Final
Reason for leaving	Hourly or Salary?
May we contact for reference
Summarize the type of work preformed and job responsibilities

Employer Telephone	Dates Employed
Address	To	From
Job Title	Hourly Rate/Salary
Immediate Supervisor and title	Starting	Final
Reason for leaving	Hourly or Salary?
May we contact for reference
Summarize the type of work preformed and job responsibilities

Employer Telephone	Dates Employed
Address	To	From
Job Title	Hourly Rate/Salary
Immediate Supervisor and title	Starting	Final
Reason for leaving	Hourly or Salary?
May we contact for reference
Summarize the type of work preformed and job responsibilities

Comments including explanation of any gaps in employment

Skills and Qualifications - Summarize and special training, skills, licenses and/or certificates that may qualify you as being able to perform job-related functions in the position for which you are applying.

Educational Background - if job related
A. List last three (3) schools attended, starting with most recent. B. List number of years completed. C. Indicate degree or diploma earned, if any. D. Grade Point Average or Class Rank. E. Major field of study. F. Minor field of study (if applicable).

A. School	B. Number of years completed	C. Degree Diploma	D. GPA / Class Rank	E. Major	F. Minor

References
List name and telephone number of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.

Name	Telephone	Years Known

Additional Information
List professional, trade, business, or civic associations and any offices held.
Exclude memberships which would reveal sex, race, religion, national origin, age, color, disability or any other similarly protected status.

Organization

Offices Held

List special accomplishments, publications, award, etc.
Exclude information which would reveal sex, race, religion, national origin, age, color, disability or any other similarly protected status.

List any additional information you would like us to consider.

I represent and warrant that I have read and fully understand the foregoing and seek employment under these conditions.

Signature of Applicant

Date

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Featured Community

Meadow Brook

	Large Pool Great location, close to shopping Great floor plans with w/d connections Large pets welcome/affordable housing On site laundry facility Loft style apartments
Butler, PA	View Community Information

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