Employment Application

PLEASE READ: To submit your employment application, please fill out the form below providing as much information as possible. Where an electronic signature is required, please type your full name as you would sign your name on legal documents.

IMPORTANT NOTICE: Riverview Homes is an equal opportunity employer. We do not discriminate against any employee or applicant for employment because of race, color, religious creed, handicap, disability, ancestry, national origin, sex, sexual orientation, or age (as defined by law). We assure you that your opportunity for employment with Riverview Homes, Inc. depends solely on your qualifications. Answers to application questions will be utilized for applicable, job related information only.

Today's Date *

Personal Information

First Name *

Last Name *

Phone Number *

Email Address *

Current Address *

Current Address

Address

Address Line 2 (optional)

City

State

Zipcode

Position Information

Position Applying For *

Employment Type *

Have you ever applied here before? *

If yes, when?

Have you ever been employed here before? *

If yes, when?

Do you have any commitments with another employer? *

If yes, describe in full

Available Start Date *

Physical Requirements

Sales: Walking and standing for extended periods of time. Climbing steps throughout the day. Lifting/carrying up to 40lbs, including moving furniture. Sitting at a desk for extended periods of time. Using a computer. Talking on the phone.

Service: Working outside in all weather conditions. Climbing a ladder, crawling on knees, laying on your back under homes, kneeling on roofs, carrying cement blocks, lifting 100lbs daily, driving during day/night and in all weather conditions.

Do you see a problem in your ability to perform the above listed requirements? *

If yes, describe in full

Education

High School or GED Information

High School or GED Name *

High School or GED Location *

Did you graduate? *

Technical / Trade / Business School Information (If Applicable)

Technical/Trade/Business School Name

Technical/Trace/Business School Location

Course of Study

Years Completed

Did you graduate?

Choose One

College or University Information (If Applicable)

College or University Name

College or University Location

Course of Study

Years Completed

Did you graduate?

Choose One

Master's Degree?

Doctorate Degree

Present Employment

Present or Most Recent Employer *

Job Title *

Pay Rate

Start Date *

End Date

Employer Address *

Employer Address

Address

Address Line 2 (optional)

City

State

Zipcode

Supervisor Name *

Supervisor Phone Number *

Reason for Leaving *

Previous Employment

This area is required unless you have only had one employer

Have you had more than 1 employer? *

Previous Employer 1

Job Title

Pay Rate

Start Date

End Date

Employer 1 Address

Address

Address Line 2 (optional)

City

State

Zipcode

Supervisor Name

Supervisor Phone Number

Reason for Leaving

Previous Employer 2

Job Title

Pay Rate

Start Date

End Date

Employer 2 Address

Address

Address Line 2 (optional)

City

State

Zipcode

Supervisor Name

Supervisor Phone Number

Reason for Leaving

References

For the purpose of the investigation, I authorize the listed references to release to RHI any general information concerning my workmanship, work ethic, etc. at my previous employments. I hereby release my personal references from any and all liability, which may result from furnishing this "general" information. I certify that my personal references are not related to me, do not live with me, and are not business partners of mine.

Reference 1

First Name *

Last Name *

Company *

Title *

Phone *

Reference 2

First Name *

Last Name *

Company *

Title *

Phone *

Reference 3

First Name *

Last Name *

Company *

Title *

Phone *

Signature Disclaimer

I certify that my answers are true and complete to the best of my knowledge and authorize the investigation of all statements contained herein. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated. I will voluntarily submit to a drug screening analysis for substance abuse any time prior to or subsequent to being hired. I am aware the results of the drug screening may be grounds for barring me from employment consideration or terminating my employment. I will voluntarily submit to a criminal background check any time prior to or subsequent to being hired. I understand that, if employed, my employment is not for a definite period of time and may be terminated by RHI or myself at any time, for any reason, or no reason at all. If employed, I will submit a copy of my valid driver's license and allow RHI to get a Department of Motor Vehicle (DMV) report on my driving record. I understand that RHI has a Company Safety Panel and a Doctor Panel concerning at work injuries and if employed, I agree to comply with and be bound by all of the safety rules, health rules, regulations, and rules of conduct of RHI. Where an electronic signature is required, I will type my full name as I would sign my name on legal documents.

Electronic Signature *

Please place your full name in the space above to electronically sign this application.

If you are human, leave this field blank.