Application for Employment

Last Name

First Name

Middle Name

Position Applied For:

Date:

Please Read Carefully

1. Accurate reporting of information as requested on this application form (the applicant must sign and date the application).

2. Interview(s) by appropriate Scope Management Solutions representitives.

3. Approvals of the offer by authorized Scope Management Solutions officials.

All offers of Employment are contingent upon satisfactory background checks, drug screen, driving record, and medical examination results. Applicants, if hired, will be required to provide documents needed to complete an Employment Eligibility Verification (Form I-9). It is the policy of Scope Management Solutions to provide equal employment opportunity for all qualified persons and not to discriminate against any employee or applicant because of race, religion, color, sex, national origin, age, vetran status, disability, or any other legally protected status.

P.O. Box 5554 1176 FM 517 Alvin, Texas 77512 An Equal Opportunity Employer www.link2scope.com

The information you provide in this application represents you to the hiring authority. Fill in each blank accurately and carefully. Answer all questions. If a question does not apply, write N/A (Not Applicable) in the space provided to show that you did not overlook the question.

Personal Data
Name:
Last First

Compete this section even if a resume is attached

Middle

Current Address:
Street City State Zip

Permanent Address:
(If defferent from above) Street City State Zip

Telephone Number:

(

)

-

(

)

State

-

Social Security Number

Home

Cell Phone/Message

Position Desired

Wage / Salary Expected

Date Available

Type of employment desired: Will you work shift work? Yes

Full-Time No

Part-Time

Temporary

Student Temporary Yes No