Cor-Pro Online Application Systems

Application Date (Month/Day/Year)


Personal Information

Name (First, MI, Last)

Street Address

City

State

Zip Code

Email Address:

Primary Phone Number

Secondary Phone Number

In case of emergency

Emergency Contact Person

Relationship to you

Emergency Contact Phone Number

Questions

Are you eligible to work in the United States?
(proof of residency will be verified upon hiring)

Are you 18 years of age or older?

Are you currently employed?

If yes, where & current job title

May we contact? If yes, please list phone number & supervisor

Have you ever been employeed by Cor-Pro Systems?

If yes, dates of employment and reason for leaving

Are you related to a current Cor-Pro Employee?

If yes, please state their name & relationship to you

Do you have a valid TX ID?

If yes, license #, class and expiration date

About the work

Desired Position

Can you fluently speak

Can you fluently read

Can you fluently write

Name and location of Highschool

Did you graduate

Name of College or other schooling

SKILLS: Please list any technical skills, clerical skills, trade skills, ect. relevant to desired position.

Work Experience

Please list your work history below. Begin with your current or most recent employer. If you held multiple positions at one company, please detail each position separately. Omission of prior employment may be considered falsification of information.

PLEASE NOTE: Cor-Pro Systems Operating, LTD. reserves the right to contact all current and former employers for reference information.

Company Name

Dates of employment

Title

Starting Pay

Final Pay

Name of Supervisor

Title of Supervisor

Supervisors contact number

Was this position

Primary Duties included
please list as many duties as you can to help us better assess your skills

Work Experience
Second (Recommended) - You can skip this if you don't have another work experience.

Company Name

Dates of employment

Title

Starting Pay

Final Pay

Name of Supervisor

Title of Supervisor

Supervisors contact number

Was this position

Primary Duties included
please list as many duties as you can to help us better assess your skills

Work Experience
Third (Recommended) - You can skip this if you don't have another work experience.

Company Name

Dates of employment

Title

Starting Pay

Final Pay

Name of Supervisor

Title of Supervisor

Supervisors contact number

Was this position

Primary Duties included
please list as many duties as you can to help us better assess your skills

Background & Reference Information

You are not required by law to answer the questions on this page,

Have you ever been convicted of a crime?

Are you currently on probation?

If yes, please explain
A "yes" answer will not automatically disqualify you from employment. We will consider the nature & date of the offense and only to the extent permitted by applicable law.

Authorization of Application

PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION;

I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete this form, or misrepresentation or omission of facts, represents grounds for elimination from consideration of employment, or termination after employment if discovered at a later date.

I authorize references and former employers, without liability, to make full response to any inquires in connection with this application for employment. If requested, i agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand this document is not an offer of employment, and that an offer of employment, if tendered, does not constitute a contract for continued guaranteed employment. I understand that employees Cor-Pro Systems Operating, LTD serves at will, and the employment relationship relationship may be terminated at any time by either party for any reason, other than a reason prohibited by law. Prior to employment, I will be required to furnish proof of eligibility to work in the United Stated and comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked, only, and would be eligible for benefits including paid time off.

By typing your First and Last name in the box below you are stating that you agree to the information above