Reynolds Landing is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion, gender, national origin, veteran status, disability, or any other legally protected status.

* Required Fields

Personal Information
Last Name: *
 First Name: *
 MI:
 Date:
11/20/2008
Preferred Name:
      
Telephone: *
 E-mail:
Address: *
City: *
 State: *
 Zip: *
Position Desired: *
 Salary Expected: *
Date Available: *
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Would you like part-time or full-time employment? *
Are you available to work weekends? *
What hours and days are you available to work? *
Have you ever been employed under another name? *
If yes, state name:
How were you referred to Reynolds Landing?*
If referred by a current employee, please state name:
Do you have any friends or relatives employed by Reynolds Landing? *
If yes, give name(s) and relationship:
If under the age of 18, can you provide proof of eligibility to work?
Are you eligible to work in the United States? *
If employed in a position requiring the operation of company vehicles, can you provide proof of a valid driver's license? *
Have you ever been employed by Reynolds Landing? *
If yes, at what time and what position(s):
Have you ever been convicted of a crime? *
Have you been convicted of D.U.I or D.W.I. during the past five years? *
If yes to either of the above questions, please give date(s) and details.
Education & Professional Training
High School:
 Graduated:
    
College or University:
 Graduated:
 Course of Study:
 Degree Received:
Graduate School:
 Graduated:
 Course of Study:
 Degree Received:
Technical School:
 Graduated:
 Course of Study:
 Degree Received:
Special Skills (i.e. Technical, Specialized, Computer Skills, etc.):
Professional, Trade or Technical Registration or License No. (Include State):
Date Received: *
, 		Date Expires: *
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Employment History
Employed From:
, 		Employed To:
, 		Employer:
Type of Business:
 Address (Include City, State, Zip):
Position(s):
 Reason for Leaving:
Ending Salary:
 Telephone Number:
 Name/Title of Supervisor:
Employed From:
, 		Employed To:
, 		Employer:
Type of Business:
 Address (Include City, State, Zip):
Position(s):
 Reason for Leaving:
Ending Salary:
 Telephone Number:
 Name/Title of Supervisor:
Employed From:
, 		Employed To:
, 		Employer:
Type of Business:
 Address (Include City, State, Zip):
Position(s):
 Reason for Leaving:
Ending Salary:
 Telephone Number:
 Name/Title of Supervisor:
If currently employed, may we contact your employer for references?
Professional References (Employment is contingent upon a satisfactory reference check)
Name and Relationship: *
 Address: *
 Telephone: *
Name and Relationship:
Address:
Telephone:
Application Terms

I understand that employment with Reynolds Landing is at will, that I am not being employed for any specific time, and that this application is not and is not intended to be a contract for continued employment. I hereby affirm that the information provided in this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that any misrepresentation or omissions of information may disqualify me from consideration for employment or continued employment. I authorize Reynolds Landing Human Resources to conduct a thorough investigation to verify the accuracy of all information contained herein. I agree to cooperate in such investigation and release from all liability or responsibility all persons or entities requesting or supplying verification and reference information. I hereby agree to submit to any lawful drug testing that may be required as a condition of employment and/or continued employment and understand that refusal to submit to such lawful testing during the course of my employment may result in disciplinary action, up to and including termination. I understand that according to federal law all individuals who are hired must produce certain documentation to verify their identity and their legal right to work in the U.S. I understand that any offer of employment would be contingent on my ability to produce the required documentation with the time period required by law.

By sending this application, you are agreeing to the above statement.