EMPLOYMENT APPLICATION
Employer: South Coast Rides, LLC
Address: 1420 First Street
City/State/Zip: Rosenberg, Texas 77471
Telephone: (281)341-9200
It is the policy of South Coast Rides, 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.
Applicant Name: ___________________________________________
Address: ___________________________________________
City/State/Zip: ___________________________________________
Daytime phone: ____________________ Evening phone: ____________________
Social Security Number: ___________________________
Who should be contacted if you are involved in an emergency?
Contact Name: ___________________________________________
Relationship to you: ___________________________________________
Address: ___________________________________________
City/State/Zip: ___________________________________________
Daytime phone: ____________________ Evening phone: ____________________
Job Position Applied For: ____________________________________
Are you at least 18 years old? Yes _____ No_____ Date of birth: _________________
Driver's License Number: ___________________________
What state issued your license? ______________________
Are you willing to work any shift, including nights and weekends? ______ Yes ______ No
If no, please state any limitations:
________________________________________________
If you are offered employment, when would you be available to begin work?
____________________________________
Are you legally eligible for employment in the United States? ______ Yes ______ No
Are you able to perform the essential functions of the job position with
or without reasonable accommodation? ______ Yes ______ No
What reasonable accommodation, if any, would you require?
______________________________________________________________
Have you ever been convicted of any crime?
______ Yes ______ No If yes, please describe:
________________________________________________
THE EXISTENCE OF A CRIMINAL RECORD DOES NOT CONSTITUTE AN AUTOMATIC BAR TO EMPLOYMENT UNLESS RELEVANT TO THE TYPE OF EMPLOYMENT.
Applicant Employment History: List your current or most recent employment first.
Employer Name: ___________________________________________
Address: ___________________________________________
City/State/Zip: ___________________________________________
Job Duties: ___________________________________________
Reason for Leaving: ___________________________________________
Dates of Employment (Month/Year): _____________________________
Employer Name: ___________________________________________
Address: ___________________________________________
City/State/Zip: ___________________________________________
Job Duties: ___________________________________________
Reason for Leaving: ___________________________________________
Dates of Employment (Month/Year): _____________________________
Employer Name: ___________________________________________
Address: ___________________________________________
City/State/Zip: ___________________________________________
Job Duties: ___________________________________________
Reason for Leaving: ___________________________________________
Dates of Employment (Month/Year): _____________________________
Applicant's Education and Training: List your education and training.
High School Name and Address
____________________________________________________________
Last Grade? ____ 9 ____ 10 ____ 11 ____ 12 Diploma? ______ Yes ______ No
College Name and Address
____________________________________________________________
Did you receive a degree? ______ Yes _____ No If yes, degree received: ___________
Other Training (graduate, technical, vocational):
____________________________________________________________
Awards, Honors, Special Achievements:
____________________________________________________________
Applicant's Skills: Check those skills that you have. List any other 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.)
Ability or
Skill Years of Experience Rating
[ ] Body Work __________________ 1 2 3 4 5
[ ] Paint __________________ 1 2 3 4 5
[ ] Fabrication __________________ 1 2 3 4 5
[ ] Upholstery __________________ 1 2 3 4 5
[ ] Mechanical __________________ 1 2 3 4 5
[ ] Welding __________________ 1 2 3 4 5
____________________________ __________________ 1 2 3 4 5
____________________________ __________________ 1 2 3 4 5
References: List any two people who would be willing to provide a reference for you.
Name: ___________________________________
Address: ___________________________________
City/State/Zip: ___________________________________
Telephone: _______________________
Relationship: _______________________
Name: ___________________________________
Address: ___________________________________
City/State/Zip: ___________________________________
Telephone: _______________________
Relationship: _______________________
Please provide any other information that you believe should be considered:
____________________________________________________________
____________________________________________________________
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 South Coast Rides, 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 entirely voluntary in nature. In other words, 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 would have the same right. Moreover, no agent, representative, or employee of South Coast Rides, 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.
NOTE: All new hires at South Coast Rides, LLC are subject to a 90 day probationary employment period. During that time, your work performance and overall behavior will be evaluated. If, during that probationary period, the management of South Coast Rides, LLC decides that you do not have the necessary job or personal skills to justify continued employment, your employment will be terminated. There are no exceptions to this rule.
I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND PROBATIONARY RULES AND I UNDERSTAND AND AGREE TO ITS TERMS.
____________________________________ _______________
APPLICANT SIGNATURE DATE