Valet Descartes

Job Application

Valet Descartes, Incorporated
Employment Application
An Equal Opportunity Employer

Valet Descartes, Incorporated appreciates your interest in our company as a place of employment. It is important that the information within the application is complete and accurate. All information within the application is used solely to evaluate your ability to perform the job for which you are applying. It is the policy of Valet Descartes and all of its related companies not to discriminate against any applicant or employee, because of race, color, religion, sex, age, national origin, marital status, physical or mental disability (unrelated to ability to perform essential job function), or veteran status.


	General Information
First Name
Middle Initial
Last Name
Social Security #

	Address Information
Address
City
State
Zip Code

	Contact Information
E-mail
Phone #
Alternate Phone #

	Position Information
Position Applied For
Salary Requirement
How did you learn about this position?	Publication College Recruiting Employee Referral Internet Website Other Referral Details (Publication Name, College Name, Employee Name, Website Address or Other)
Employment Desired	Full Time Part Time Temporary From Until
Hours per week desired
How soon are you available for employment?
Provide days and times you are not or may not be available to work.
Have you ever been employed or have you previously applied for employment at Valet Descartes or Premier Landscape?	Yes No
If yes, provide dates of employment and reason for leaving.
Are any of your relatives employed by any other company in the Landscaping or Valet Industries?	Yes No
If yes, provide company name and location.
Are You 19 years of age or older?	Yes No
If YES can you furnish proof of age?	Yes No
If offered employment, can you submit proof of your legal right to work in the US ?	Yes No
Have you ever been convicted of a felony?	Yes No
If yes, please explain. A felony conviction does not automatically exclude you from employment and will be considered only as it relates to your fitness to perform the position for which you are applying.

	EMPLOYMENT HISTORY The fact that you have filled out this application will be kept strictly confidential and will not in any way be brought to the attention of your present employer without your permission. Please give an accurate, detailed and complete record of your employment below. All information within the application is subject to verification and investigation. Begin with your present position.
Employer 1	Name Address, City, State, Zip Code Phone Position title and description of job duties Employed From Employed To Starting Salary Final Salary Immediate Supervisor May We Contact? Yes No Reason for leaving?
Employer 2	Name Address, City, State, Zip Code Phone Position title and description of job duties Employed From Employed To Starting Salary Final Salary Immediate Supervisor May We Contact? Yes No Reason for leaving?
Employer 3	Name Address, City, State, Zip Code Phone Position title and description of job duties Employed From Employed To Starting Salary Final Salary Immediate Supervisor May We Contact? Yes No Reason for leaving?
Employer 4	Name Address, City, State, Zip Code Phone Position title and description of job duties Employed From Employed To Starting Salary Final Salary Immediate Supervisor May We Contact? Yes No Reason for leaving?
Employer 5	Name Address, City, State, Zip Code Phone Position title and description of job duties Employed From Employed To Starting Salary Final Salary Immediate Supervisor May We Contact? Yes No Reason for leaving?

	EDUCATION
High School	Name Address, City, State, Zip Code Graduated Yes No Major Degree
Vocational School	Name Address, City, State, Zip Code Graduated Yes No Major Degree
College	Name Address, City, State, Zip Code Graduated Yes No Major Degree
Graduate School	Name Address, City, State, Zip Code Graduated Yes No Major Degree
Other Training, Education and/or Certification
Are you currently in school?	Yes No
Do you plan to resume taking classes?	Yes No
If Yes, when?

	REFERENCES These are individuals whom you have known in a professional capacity and who are familiar with your qualifications and skills, they may be supervisors or co-workers.
Reference 1	Name Title Relationship Company Phone Address, City, State, Zip Code
Reference 2	Name Title Relationship Company Phone Address, City, State, Zip Code
Reference 3	Name Title Relationship Company Phone Address, City, State, Zip Code

	DRIVING EXPERIENCE & LICENSING Only valet attendant applicants need to complete this section.
Stick Shift?	Yes No
Parallel Park?	Yes No
Driver's License Number
State and Country Issued:
Moving violation tickets on your record, type and date received:
Driving accidents on your record caused by you:
Have you had three (3) or more years of driving experience on a valid driver's license?	Yes No

READ AGREEMENT AND THEN ELECTRONICALLY SIGN AND DATE

I hereby certify that the answers provided above are true and correct to the best of my knowledge. I also certify that I have a genuine intent to seek employment with Valet Descartes, Inc. and no other purpose in applying for employment with Valet Descartes, Incorporated.

I understand that any omission or misstatement of material fact on this application or any other document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of time elapse before discovery.

I hereby authorize Valet Descartes and/or its agents to thoroughly investigate my references, work record, education, motor vehicle report, and other matters related to my suitability for employment. In addition, I hereby release Valet Descartes, Incorporated, and any and all of its agents, officers, employees, and affiliates, and also all employers named on this application from any and all claims, liabilities, or demands arising out of or in any way related to such investigation or disclosure from any and all persons contacted about me.

If hired, I agree to conform to the policies and procedures of Valet Descartes, Inc., as adopted and/or revised from time to time; and I agree that my employment and compensation can be terminated, with or without cause and with or without notice, at any time, at the option of either Valet Descartes, Inc. or myself. I also understand and agree that the terms and conditions of my employment may be changed, with or without cause and with or without notice, at any time by Valet Descartes, Incorporated.

I understand that nothing contained in the application or conveyed during any interview, which may be granted, is intended to create an employment contract between the company and me. In addition, I understand that if employed, my employment is for no definite or determinable period and may be terminated at any time, with or without cause at the option of either Valet Descartes, Inc. or myself. No promises or representations contrary to the foregoing are binding on the company unless made in writing and signed by me and both owners of the company.

I understand and agree that: (a) employment with Valet Descartes, Inc. is contingent upon my not being bound by a prior agreement or other obligation which would limit my performance or job responsibility at Valet Descartes, (b) if I am being considered for a position which requires driving, employment is contingent upon my having a safe driving record, (C) Valet Descartes, Inc requires every employee to sign a confidentiality agreement as a condition of employment. My application is current for 90 days only. If after 90 days I have not heard from the company and still wish to be considered for employment, it will be necessary to fill out a new application.

I have read the above statements, and understand and agree with all of them.

Name

Date

Sign Application (Enter Initials)