Application for Employment Landmark Parking, Inc. Personal Last Name: First: Middle: Suffix: Select Mr. Mrs. Ms. Dr. Address: Apt #: City: State: Zip Code: Home Phone: Work Phone: Best Time To Call: Email: If you have ever applied for employment with us before, then please tell us: Last Application Date: Last Application Location: Position Applying For: Pay Expected: Pay Freq: Will you work overtime if asked? Select Yes No When will you be able to begin work? Apart from religious observances, are you available for full time work? Select Yes No If not, what hours can you work? Education School School Name and Location of School Course of Study Years Completed Graduate? Diploma/Degree Elementary Select Yes No High School Select Yes No College Select Yes No Graduate Select Yes No Business / Trade Select Yes No Other Select Yes No Employment History (Please provide complete and accurate history beginning with your current or most recent employer.) Name of Employer: Address: Names of Supervisor: Job Title/Position: Telephone: Ext: Description of Duties: Weekly Pay Start: To: Reason for leaving: Dates of Employment: To: Name of Employer: Address: Names of Supervisor: Job Title/Position: Telephone: Ext: Description of Duties: Weekly Pay Start: To: Reason for leaving: Dates of Employment: To: Name of Employer: Address: Names of Supervisor: Job Title/Position: Telephone: Ext: Description of Duties: Weekly Pay Start: To: Reason for leaving: Dates of Employment: To: May we contact your current or previous employers? Select Yes No Do Not Contact: Reason: Do Not Contact: Reason: Military Experience Special Training ArmedForces: Select Yes No ArmerForcesBranch: ArmerForcesStartDate: ArmerForcesEndDate: ArmerForcesDuties: SpecialTraining: Additional Information The information requested below is required for a legally permissible purpose including, but not limited to, national security considerations, a legitimate business occupational qualification or business necessity. How long have you lived at your current address: If less than one year, previous address: City: State: Zip: Are You at least 18 years of age? Select Yes No Are you a U.S. citizen? Select Yes No If not a citizen, can you provide documentation establishing your right to work? Select Yes No Have you ever been bonded? Select Yes No If yes, by which employer(s): Have you been convicted of a crime in the last ten years? Select Yes No If so, please provide a brief description of the conviction: Do you have any friends or relatives other than your spouse that are currently employed by Landmark Parking? Select Yes No If yes, name(s): I would like to participate in an Affirmative Action Survey In accordance with applicable laws set forth by the Equal Employment Opportunity Commission and the Fair Credit Reporting act, I understand that it is my right to obtain, view and/or challenge any and all negative information gathered as part of this application process. By clicking the submit button below, I affirm that the information provided above is complete and accurate to the best of my knowledge. I further authorize Landmark Parking, Inc., and their respective agents, to solicit information and to investigate all references, declarations of education, employers (unless so noted) and all other information provided as part of this application. I understand that any information provided that is false or purposefully omitted may be grounds for Landmark Parking, Inc. to bar employment or terminate my employment if hired.       The Civil Rights Act of 1964 prohibits discrimination in employment based upon Race, Color, Religion, Sex, or, National Origin. Federal Law also prohibits discrimination based upon age or disability.