Max Home Careers

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If not, give date of birth
HIGHEST GRADE COMPLETED NAME OF SCHOOL LOCATION GRADUATE?

Please begin with the most recent employer (MUST BE COMPLETED FOR PREVIOUS 10 YEARS)

Employer Name Full Address Hourly
Earnings
at start 		Hourly
Earnings at
Termination		 Employed
From - To		 Position Immediate
Supervisor		 Reason
for
Leaving
Add Employer

Conviction is not an automatic bar to employment. All facts and circumstances will be considered.

Department
Employer address

I understand that any false or misleading information or omissions in this application or the employment process or during employment shall be sufficient reason for rejection or immediate dismissal. I authorize you to contact my former employers about my employment record. The use of this application does not indicate there are positions open and does not in any way obligate the company.

IMPORTANT: I hereby authorize and request any and all of my former employers and any other person, firm or corporation to furnish any and all information concerning my personal and employment background and I hereby release each such employer or other information. I hereby authorize Max Home, LLC to supply my employment record, in whole or in part, to any employer, insurance agency or other party with a legal or proper interest and I hereby release the company from any liability and agree to hold harmless any employee or agent of Max Home, LLC who furnishes such information. I understand that I may be required at anytime to submit to a physical, urinalysis, or other examination as a condition of my employment with Max Home, LLC, including a pre-employment urinalysis drug test. By accepting employment, I agree to submit to such tests as required by the company. I understand that, if employed, my employment is for no definite period and no manager or employee has the authority to enter into an oral or other agreement contrary to this or any employment contract with me in behalf of Max Home, LLC. I also understand that no handbook or other company publication changes this at will relationship. If employed, I agree to learn and abide by the various employment rules and policies of the company. I understand that if I ever believe I have been harassed in a sexual nature or for any other related to a protected status, I should immediately report to Human Resources. Likewise if I become or am qualified individual with a covered disability, I understand I may request a reasonable accommodation by contacting human resources to discuss what, if any, assistance may be available, and such discussions will be handled discreetly. I acknowledge that I understand the company complies with the FMLA and ADA, and all other applicable federal and state employment laws. By signing this application, I certify that I have read and understand all parts of it and certify that I have truthfully and completely answered all questions.