Columbia Residential is an equal opportunity employer and will not discriminate on any legally recognized basis, including, but not limited to, race, age, color,religion, sex, marital status, national origin, citizenship, ancestry, physical or mental disability, veteran status or any other basis recognized by federal, state or local law.
Instructions to Applicants: So that you will receive full consideration for employment opportunities at Columbia Residential, please be certain to fill in all the spaces on this company’s
application form.
This employment application is NOT A CONTRACT and it is not meant to impose any legal obligation upon either you or Columbia Residential.
If you are hired, your employment shall be “at will” and may be terminated at any time for any reason with or without prior notice or cause.
Any oral statement or promises to the contrary are not binding upon Columbia Residential.
Personal Data
Last Name: *
First Name: *
Middle Name:
Street address: *
City: *
State: *
Zip Code: *
Phone number: *
Social Security Number : *
Email ID : *
Are you currently authorized to work for all employers in the United States on a full time basis, or only for your current employer? *
Availability:
Full Time
Part Time
Specify Hours:
To
Date Available
* (MM/DD/YYYY)
00:00
00:00
Is there any reason we may not inquire of your present employer or prior employers? If yes, please explain: *
Have you ever applied to this company before?
Where?
When?
Are you willing to work overtime?
Yes No
If driving is a requirement of the job for which you are applying, do you have a valid driver's license?
Yes No
If you are a minor, can you produce the work certificate necessary to obtain employment?
Yes No
Are you able, at the time of employment, to submit verification of your legal right to work in the U.S.? (Verification and completion of Form 1-9 must be submitted no later than three business days after date of hire.)
Yes No
Columbia Residential reserves the right to complete a background check and/or drug screen on all prospective employees.
Yes No
Have you ever been convicted of a felony which is substantially related to the functions or qualifications of the position(s) for which you are applying? If yes, please describe fully the criminal conviction(s), listing the nature of the offense(s) and your rehabilitation since the conviction(s).
Yes No
Note: This question does not apply to convictions which have been expunged, sealed, pardoned or otherwise exonerated or eradicated.
(a conviction record will not necessarily be a bar to employment).
Educational Data
Educational Background
Name & Location of School
Highest Grade Completed
Major Area of Study
High School
9
10
11
12/GED
College
1
2
3
4
Trade, Business or
Graduate School
Employment Data
Date (Month & Yr)
Name, Address & Phone #
of Employer
Salary
Position
Name of Supervisor
Reason for Leaving
From
To
From
To
From
To
From
To
From
To
From
To
APPLICANT CERTIFICATION - PLEASE READ CAREFULLY
I understand that this application is not a contract, offer or promise of employment. I acknowledge that employment with the company is on an employment at will basis. This means that my employment with the company can be terminated at any time, with or without cause or advance notice and acceptance of employment is not a contract of employment for any specified time. Similarly I am free to terminate my employment with the company at any time for any reason. This at-will provision may be modified or waived only in a written agreement signed by the company's president and me.
I further understand that I am responsible for being familiar with the Company's policies, rules and regulations, and I understand that the company has complete discretion to modify its policies, rules, regulations and practices at any time, to the extent permitted by federal, state and local law, except that it will not modify its policy of employment at will. By my continued employment with the Company, I consent to any such changes.
I certify that the above information is complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation or omission of information on this form or relating to my application of employment may result in my denial of employment, or if employed, my immediate dismissal.
I hereby authorize the company or its agents to confirm all statements contained in this application and/or resume to the extent permitted by federal, state or local law and I agree to complete any requisite authorization forms.* I release all parties from any liability arising out of this provision and the use of such information.
I have read the above and I accept to the terms & conditions mentioned.
