Employemnt Application

Employment Application

IMPORTANT: Please complete this online form completely. Answers that are illegible or incomplete may prevent us from considering your application.

AN EQUAL OPPORTUNITY EMPLOYER
It is the policy of Latello Brands LLC. to provide employment opportunities without regard to race, color, religion, sex, national origin, age, handicap, or veteran status.

Date Of Application:

NAME

First

Last

M.I.

S.S. #

DO NOT GIVE SS# OVER INTERNET

ADDRESS
Street
City
State		ZIP

PERMANENT ADDRESS (if different)
Street
City
State		ZIP

CONTACT INFORMATION
Home Phone:
Work Phone:
Cell Phone:
Email Address:

APPLICATION
ARE YOU LEGALLY AUTHORIZED TO WORK IN THE UNITED STATES?	YES NO
VISA Type
VISA Number
VISA Expiration Date
Do you have a Valid Driver's License?	YES NO
License Number
License State
Date Of Expiration:
Have you ever been convicted of or sentenced for any violation of the law?	YES NO
If YES, List ALL Violations and Details.

Are You Eighteen Or Older?	YES NO

POSITION INFORMATION
Position Applying For:
Referral Source

EDUCATION
Last High School Attended
Attended From	TO
Graduated?	YES NO
College or University
Attended From	TO
Graduated?	YES NO
Major
Degree Received

EMPLOYMENT HISTORY - (Please List The Most Recent First)
Full Name Of Company Street Address City State Phone Supervisor Position Held Department Employed From To Reason For Leaving Beginning Salary: Ending Salary: Duties:
Employer 2
Full Name Of Company Street Address City State Phone Supervisor Position Held Department Employed From To Reason For Leaving Beginning Salary: Ending Salary: Duties:
Employer 3
Full Name Of Company Street Address City State Phone Supervisor Position Held Department Employed From To Reason For Leaving Beginning Salary: Ending Salary: Duties:
EXPERIENCE
Indicate Experience In Years And Months For Each Area
Air Duct Cleaning Years Months	Water Restoration Years Months
Carpet Cleaning Years Months	Mold Remediation Years Months
Fireplace Cleaning Years Months	Fire Restoration Years Months
Fireplace Repair Years Months	Tile & Grout Care Years Months
Dryer Vent Cleaning Years Months	Wood Floor Care Years Months

List any other skills you think might be of value to the company, such as selling, etc.

MILITARY SERVICE AND STATUS
Branch Of Service (If none, state none):
Military Occupation
Date Of Entry Into Active Duty:
Date Of Separation:
Rank At Time Of Separation:

PLEASE NOTE: FINAL PROCESSING PRIOR TO EMPLOYMENT MAY REQUIRE A REVIEW OF THE ORIGINAL OR COPY OF YOUR MILITARY DISCHARGE AND/OR REVIEW OF YOUR DD FORM 214.