RealTime Employment ApplicationThis employment application will remain active for six (6) months from Date of Completion Name * First Name Last Name Email Address * Social Security # * Street Address * City, State, Zip * Telephone * Date Available to Start * Please Check: * Full-Time Part-Time Temporary What schedules are you available? * Weekdays Weekends Evenings Overtime Nights Compensation Expectation: Postion(s) Applied For... * How did you learn about RealTime? * Have you ever worked for RealTime before? * Yes No If yes, what dates: Do you have friends or relatives that work here? Yes No If yes, name & relationship: Have you ever applied to work at RealTime before? * Yes No If yes, dates: Can you provide proof of our right to work in the U.S.? * Yes No Are you willing to work overtime? * Yes No Do you have reliable transportation? * Yes No Have you been Convicted OR Plead Guilty to any crime within the last fifteen (15) years? * Yes No If yes, please list ALL convictions: Are you at least 18 years of age? * Yes No Do you speak or write any foreign language? * Yes No If yes, please explain: High School: * City & State * Diploma? * Yes No GED If no diploma, highest grade completed: * College * If no college, please write n/a City & State of College Graduated College? Yes No College Degree: Other education: City & State: Graduated? Yes No Degree: Please list any certifications or licenses received: WORK HISTORY Please list most recent position first Employer * Job Title * Dates from/to: * City/State * Superviser Name * Phone Number * Pay Rate Pay Rate disclosure is voluntary If no longer employed, reason for leaving Duties/Responsibilities * Are you eligible for rehire? * Yes No If no, why? If still employed, may we contact your current supervisor for a reference? * Yes No If no, why? 2. Employer * Job Title * Dates to/from * City/State * Supervisor Name * Phone Number Pay Rate Pay Rate disclosure is voluntary Reason for leaving * Duties/Responsibilities * Are you eligible for rehire? * Yes No If no, why? 3. Employer * Job Title * City/State * Supervisor Name * Phone Number * Pay Rate Pay Rate disclosure is voluntary Reason for Leaving * Duties/Responsibility Are you eligible for rehire? * Yes No If no, why? 4. Employer * Job Title * Dates to/from * Supervisor Name * Phone # * Pay Rate Pay Rate disclosure is voluntary Reason for Leaving * Duties/Responsibilities * Are you eligible fore rehire? * Yes No If no, why? Please List Three Professional References of Past or Current Supervisors Name * First Name Last Name Title * Company * Phone * (###) ### #### Name * First Name Last Name Title * Company * Phone * (###) ### #### Name * First Name Last Name Title * Company * Phone (###) ### #### Please List Two Character References That are Not Relatives Name * First Name Last Name Occupation * Phone * (###) ### #### Name * First Name Last Name Occupation * Phone * (###) ### #### Equal Opportunity Statement RealTime provides equal employment opportunities to all employees and applicants without regard to race, color, creed, religion, sex, national origin, age, citizenship, disability, marital status, veteran status or any other protected status. This policy governs all areas of employment at RealTime, including recruiting, hiring, training, assignments, promotions, compensation, benefits, discipline and terminations. Confidentiality Agreement and Employment-At-Will I understand that if I am employed by RealTime for any duration, that such employment is of an AT WILL nature, meaning that I can end my employment relationship with RealTime at any time, for any reason or no reason at all, and that RealTime may terminate my employment at any time, for any reason, with or without cause, or for no reason at all. I also understand and acknowledge that completion of this application for employment does not guarantee me a personal interview, an offer of employment, or consideration for current or future openings, and that no commitments are made or implied regarding employment, and that this document does not create a contact of employment or otherwise, either express or implied, between RealTime and myself. Furthermore, in the event I am hired by RealTime, I will not disclose, use or take, directly or indirectly, either during or after my employment, any property of RealTime or confidential or proprietary information concerning RealTime' clients, vendors, employees and/or its business. I also agree to deliver promptly to RealTime, on request or on the date of termination of my employment, all documents, copies thereof, and other materials relating to any confidential or proprietary information that is the property of Realtime. Additionally, I agree to return all equipment, tools, instruments, identification badges/documents, materials, outstanding cash advances, wages paid in error, credit cards, key software, hardware, or any other items furnished to me by RealTime. I hereby agree that if I do not return said items and/or cash, I authorize RealTime to deduct the value of such items from my paycheck. All deductions will be done in accordance with the law. Acknowledgement and Agreement * By submitting this form you are acknowledging and agreeing digitally. Please type /s/ and your name in the box below to sign this digitally. Thank you for submitting your employment application to Realtime, LLC.
