EMPLOYMENT OR CONTRACTOR APPLICATION

Employment History

Please give an accurate and complete full-time employment record. Start with your present or most recent employer. Include military experience if applicable.

Most Recent/Present Position:
Company Name: ____________________________________________________________ City/State: ______________________

Company Phone Number: _____________________________ Job Title: ________________ Weekly Pay: ___________________

Name of Supervisor: ____________________________________ Dates of Employment (Month/Year): From: _______ To: ______
Describe your job and its duties:
___________________________________________________________________________________________________________

___________________________________________________________________________________________________________
May we contact this employer?                                   Yes____ No____

If not, why? ________________________________________________________________________________________________

Reason for leaving: ___________________________________________________________________________________________

Position #2
Company Name: ____________________________________________________________ City/State: ______________________

Company Phone Number: _____________________________ Job Title: ________________ Weekly Pay: ___________________

Name of Supervisor: ____________________________________ Dates of Employment (Month/Year): From: _______ To: ______
Describe your job and its duties:
___________________________________________________________________________________________________________

___________________________________________________________________________________________________________
May we contact this employer?                                   Yes____ No____
If not, why?   ________________________________________________________________________________________________

Reason for leaving: ___________________________________________________________________________________________

Position #3
Company Name: ____________________________________________________________ City/State: ______________________

Company Phone Number: _____________________________ Job Title: ________________ Weekly Pay: ___________________

Name of Supervisor: ____________________________________ Dates of Employment (Month/Year): From: _______ To: ______
Describe your job and its duties:
___________________________________________________________________________________________________________

___________________________________________________________________________________________________________
May we contact this employer?                                   Yes____ No____

If not, why?   ________________________________________________________________________________________________

Reason for leaving: ___________________________________________________________________________________________

Agreement of the Transfer of Information

I declare the information provided by me in this application is true, correct, and complete to the best of my knowledge. I understand that if employed, any
falsification, misstatement, or omission of fact in connection with my application, whether on this document of not, may result in immediate termination of
employment. I authorize you to verify any and all information provided above.
I acknowledge that employment may be conditional upon successful completion of a substance abuse screening test as part of the company's pre-employment policy.
I acknowledge that if I become employed, I will be free to terminate my employment at any time for any reason, and that Yeager's Inc. retains the same rights.
I understand it is unlawful to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law
shall be subject to criminal and/or civil liabilities.
I understand that theft or knowledge of theft of any property or services is grounds for immediate dismissal and may also result in prosecution.

Signature: _________________________________ Print Name: ________________________________ Date: ___________________

Yeager's Inc
3821 Old Lorna Rd Suite 112
Riverchase, Alabama 35244
205-987-2380    Please Fax to 205-402-2666

Work Eligibility

Are you eligible to work in the United States?                        Yes____ No____                         Are you 18 or older?      Yes____ No____

Are you available to work holidays?                                       Yes____ No____

When will you be available to begin work?                                            ________/_______/_______ (Month/Date/Year)

Have you ever been convicted of or pleaded no contest to a felony with the last five years?   Yes____ No____
If yes, please explain:_____________________________________________________________________________________________

Have you ever been convicted, pleaded guilty, or pleaded no contest, to an act of dishonesty, or breach of trust or moral turpitude, such as
misdemeanor petty theft, burglary fraud, writing bad checks, and other related crimes within the last five (5) years?*      Yes____ No____

If yes, please explain:_________________________________________________________________________________________

Please explain any special training or skills you may have (additional spoken or written languages, computer software knowledge, spa or
salon experience, etc.)? ___________________________________________________________________________________________

______________________________________________________________________________________________________________

______________________________________________________________________________________________________________
*Conviction of a crime, or pleading guilty to a criminal charge, will not necessarily disqualify you from the job for which you are applying.
Each conviction or plea will be considered with respect to time, job relatedness, and other relevant factors.