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(972) 635-2491 customrollform@gmail.com 215 West Highline Dr., Royse City, TX 75189

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Employment

Custom Roll Form Inc.

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Employment

For your convenience you may fill out this online form to apply for employment.

It is the policy of the Company to provide equal opportunity with regard to all terms and conditions of employment. The Company complies with federal and state laws prohibiting discrimination on the basis of race, color, religion, creed, national origin, disability, veteran status, age or any other protected characteristics.

Incomplete applications may be rejected. Please complete application in full.

Online Application for Employment

"*" indicates required fields

Step 1 of 5

20%

Full Legal Name

First Last

Email*

Phone*

Address

Street Address Address Line 2 City State ZIP Code

Position You're Applying For

Date Available to Start Work

MM slash DD slash YYYY

Full Time or Part Time

Rate of pay you are expecting?

Do you have the legal right to be employed in the U.S.?

Yes

Are you of legal age to work?

Yes

Do you use any tobacco/nicotine products?

Yes

During the past 15 years, have you ever been convicted of, or have you pled guilty or no contest to, a felony offense? If yes please explain in the space below.

Yes

(Answering yes to this question will not automatically bar you from employment unless applicable law requires such action.)

If you’ve been convicted of a felony, please explain:

How did you hear about employment opportunities with our company?

Referred by another employee (please give name below)

Advertisement or Job Posting (please give name below)

Other

Name of Referring Employee

Advertisement/ Job Posting Location

Employment Experience

Most Recent

Employer Name

Position

Address

Street Address Address Line 2 City State ZIP Code

Phone

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Reason for Leaving

Ending Pay

Employer Name

Position

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Reason for Leaving

Ending Pay

Employer Name

Position

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Start Date

MM slash DD slash YYYY

End Date

MM slash DD slash YYYY

Reason for Leaving

Ending Pay

Education

Name of High School

Location

Did you graduate?

Yes

If no, do you have a GED?

Yes

Name of College

Location

Course of Study

Did you graduate?

Yes

Name of Other School

Location

Course of Study

Skills

Please describe any skills or special training you have below:

Upload a Resume

Attach Your Resume (PDF)

Max. file size: 50 MB.

Applicant’s Statement & Authorization for Release of Information

I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMMISSSION OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED. IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED AT THAT TIME.

I hereby authorize any investigator or duly accredited representative of the Company bearing this release to obtain any information from schools, residential management agents, employers, criminal justice agencies, or individuals, relating to my activities. This information may include, but is not limited to, academic residential, achievement, performance, attendance, personal history, disciplinary, arrest, and conviction records. I hereby direct you to release such information upon request of the bearer. I understand that the information release is for official use by the Company and may be disclosed to such third parties as necessary in the fulfillment of official responsibilities.

I hereby release any individual, including record custodians, from any and all liability for damages of whatever kind or nature which may at any time result to me on account of compliance, or any attempts to comply, with this authorization.

Signature

Date

MM slash DD slash YYYY