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EMPLOYMENT APPLICATION

Please complete the entire application.

1. Employer Information

Employer:

Address:

City/State/ZIP:

Telephone:

Diversified Business Consulting LLC 8128A Antoine Drive
Houston, Texas 77088

8663037333

It is the policy of Diversified Business Consulting LLC to provide equal employment opportunities to all applicants and employees without regard to any legally protected status such as race, color, religion, gender, national origin, age, disability or veteran status.

2. Applicant Information

Applicant Full Name:

Home Address:

Number of years at this address:

Daytime phone:

Evening phone:

Mobile phone:

Social Security Number:

Driver's License #

State Issued

Job Position Applied For:

Full or Part Time?

Salary Desired:

per

Who referred you to our company?

Do you have any friends or relatives who work here? If yes, please list here:

Are you at least 18 years old? Required

Yes

How will you get to work?

Are you willing to work any shift, including nights and weekends?

If no, please state any limitations:

If applicable, are you available to work overtime?

If you are offered employment, when would you be available to begin work?

If hired, are you able to submit proof that you are legally eligible for employment in the United States?

Are you able to perform the essential functions of the job position you seek with or without reasonable accommodation?

What reasonable accommodation, if any, would you request?

List any skills that may be useful for the job you are seeking. Enter the number of years of experience, and circle the number which corresponds to your ability for each particular skill. (One represents poor ability, while five represents exceptional ability.)

.Applicant Employment History

List your current or most recent employment first. Please list all jobs (including self-employment and military service) which you have held, beginning with the most recent, and list and explain any gaps in employment. If additional space is needed, continue on the back page of this application.

Employer Name:

Supervisor Name:

Address:

City/State/ZIP:

Job Duties:

Reason for Leaving:

Dates of Employment (Month/Year):

Employer Name:

Supervisor Name:

Address:

City/State/ZIP:

Job Duties:

Reason for Leaving:

Dates of Employment (Month/Year):

Employer Name:

Supervisor Name:

Address:

City/State/ZIP:

Job Duties:

Reason for Leaving:

Dates of Employment (Month/Year):

Employer Name:

Supervisor Name:

Address:

City/State/ZIP:

Job Duties:

Reason for Leaving:

Dates of Employment (Month/Year):

Applicant's Education and Training

College/University Name and Address

Did you receive a degree?

If yes, degree( s) received:

High School/GED Name and Address

Did you receive a degree?

Other Training (graduate, technical, vocational):

Please indicate any current professional licenses or certifications that you hold:

CERTIFICATION

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Diversified Business Consulting LLC to contact former employers and educational
organizations regarding my employment and education. I authorize my former employers and
educational organizations to fully and freely communicate information regarding my previous
employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written
contract of employment signed on behalf of the organization by its Owner, the employment
relationship will be "at-will." In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the right. Moreover, no agent, representative, or employee of Diversified Business Consulting LLC, except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND
AND AGREE TO ITS TERMS.

Your Signature

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Apply Today

EMPLOYMENT APPLICATION

1. Employer Information

2. Applicant Information

.Applicant Employment History

Applicant's Education and Training

CERTIFICATION

Upload Resume Here

ADDRESS

8128 Antoine Dr. ste. A Houston,Texas 77088

Operating Hours:
9am to 6pm

CONTACT

Tel: (866) 303-7333
Email: info@diversifiedbusinessconsulting.net

Apply Today

EMPLOYMENT APPLICATION

1. Employer Information

2. Applicant Information

.Applicant Employment History

Applicant's Education and Training

CERTIFICATION

Upload Resume Here

ADDRESS 8128 Antoine Dr. ste. A Houston,Texas 77088 Operating Hours: 9am to 6pm

CONTACT Tel: (866) 303-7333 Email: info@diversifiedbusinessconsulting.net

ADDRESS

8128 Antoine Dr. ste. A Houston,Texas 77088

Operating Hours:
9am to 6pm

CONTACT

Tel: (866) 303-7333
Email: info@diversifiedbusinessconsulting.net