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Application for Employment

We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, or disability that does not prohibit performance of essential job functions.
I. Personal Information
Date*
Date Format: MM slash DD slash YYYY
Name*
First Last
Present Address*
Street Address City State ZIP Code
Permanent Address (if different than above)
Street Address City State ZIP Code
Telephone*
Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver’s license, birth certificate, Green Card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.
Position Applied For:*
1. Is there any information we would need about your name or use of another name for us to be able to check your work record? Please specify:
2. Do you have any relatives who are presently (or have formerly been) employed by StorageOne?
3. How were you referred to StorageOne?
4. Have you ever been convicted of a felony?*
- Yes
- No
If yes, please explain:
II. Educational History
Elem/Jr. High*
School Name/Location Years Completed Degree/Diploma
High School*
School Name/Location Years Completed Degree/Diploma
College
College Name/Location Years Completed Degree/Diploma
Tech. Training
School Name/Location Years Completed Degree/Diploma
Other
School Name/Location Years Completed Degree/Diploma
III. Employment Record
(Please include all employment for the last five years.)
1. Company Name (Current or Most Recent Employer)
Position Held
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Date Employed from
Date Format: MM slash DD slash YYYY
Date Employed To
Date Format: MM slash DD slash YYYY
Manager/Supervisor Telephone Wage/Salary
Reason for leaving
2. Company Name (Current or Most Recent Employer)
Position Held
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Date Employed from
Date Format: MM slash DD slash YYYY
Date Employed To
Date Format: MM slash DD slash YYYY
Manager/Supervisor Telephone Wage/Salary
Reason for leaving
3. Company Name (Current or Most Recent Employer)
Position Held
Address
Street Address City State / Province / Region ZIP / Postal Code Country
Date Employed from
Date Format: MM slash DD slash YYYY
Date Employed To
Date Format: MM slash DD slash YYYY
Manager/Supervisor Telephone Wage/Salary
Reason for leaving
We will contact all of the employers listed on this application unless you specifically exclude them below. Please list any employers you do not want us to contact and your reason for the exclusion:
(Employer’s name) Reason
IV. References
Please do not include relatives or former employers.
Name Years Known Address Telephone Occupation
V. Work Availability
1. If your application receives favorable consideration, when will you be available to begin work?*
2. Do you have any objection to working overtime?*
- Yes
- No
3. Can you work overtime without prior notice?*
- Yes
- No
4. Can you work on Saturday?*
- Yes
- No
5. Can you work on Sunday?*
- Yes
- No
6. Can you travel if required by this position?*
- Yes
- No
VI. Salary / Hourly Rate Requirements
If your application receives favorable consideration, what salary/hourly rate would you require?*
$ per
ATTACH RESUME (optional)
Background Research Release
Please read this section carefully and acknowledge your understanding by checking the appropriate box. I certify that all of the statements made by me on this application for employment are true, correct and complete to the best of my knowledge.
1. Consent To Conduct Background Investigation As a condition of and in consideration for StorageOne’s consideration of this application, I give permission to StorageOne to investigate my personal and employment history. I understand that this background investigation will include, but not be limited to, verification of all information on this application, as well as interviews with past employers. I further give permission to StorageOne to conduct this investigation and to discuss the results of this investigation in connection with my application for employment.

2. Consent To Contact Past Employers I give permission to StorageOne to contact all employers listed in this application (except those specifically excluded) for references. I further give permission to all current or previous employers and/or managers or supervisors to discuss my relevant personal and employment history with StorageOne, consent to the release of such information orally or in writing, and hereby release them from all liability and agree not to sue them for defamation or other claims based upon any statements they make to any representative of StorageOne. I further waive all rights I may have under state law to receive a copy of any written statement provided by any of my former employers to StorageOne. I further agree to indemnify all past employers for any liability they may incur because of their reliance upon this release.

3. Consent To Contact Government Agencies I give permission to any agent, attorney or representative of StorageOne to receive a copy of any information obtained in the file of any federal, state or local court, governmental agency or investigator concerning or relating to me. I further consent to the release of such information and waive any right under state law concerning notification of the request for a release of such information. In the event a state law does not provide for prospective employers to have access to information, I hereby delegate StorageOne as my agent for receipt of information. I understand that the scope of this investigation will be limited to criminal and/or civil records that relate to my honesty, integrity and/or abilities. StorageOne contacts the Las Vegas Metropolitan Police Department as a part of the background investigation. You may be required to sign a separate release for LVMPD to provide information to StorageOne.

4. Cooperation With Investigation I agree to fully cooperate with StorageOne’s background investigation, and to sign any waivers or releases that may be necessary to obtain access to relevant information. In the event that any former employer or federal, state or local governmental agency will not release reference information or criminal history information directly to my employer, I agree to personally request such information to the extent permitted by law.

5. Credit Investigation Applicant fully agrees to allow StorageOne to examine his/her credit background as a part of the background investigation. Following the requirements imposed by the Federal-Truth-In-Lending and the Fair Credit Report Acts, StorageOne conducts a pre-employment credit check on all applicants who are offered and who accept an offer of employment. Employment may be conditional upon review of the information in the credit check. StorageOne reserves the right to conduct this credit check at any time after applicant has been employed. Applicants have certain legal rights to discover and to dispute or explain any information prepared by the credit checking company.

6. Pre-Employment Drug Screening The policy of StorageOne, respective to the possession and use of prohibited substances by its employees while in the employ of the Company and/or while on Company property, is that the possession, use, sale and/or transportation of illegal substances is prohibited. Enforcement of the policy begins with pre-employment screening and is extended during employment to random testing, testing for suspicion and/or cause, post accidental, abstinence monitoring, and refusal to take a test. These are all integral parts of the policy. Violation of the stated Company policy regarding drug and alcohol use may result in withdrawal of an offer for employment, or disciplinary action resulting in termination.

7. Falsification Statement I understand that any falsification or willful omission of fact made in this application or in connection with any background investigation may be sufficient grounds for rejection of this application, or, if discovered after an offer of employment, for immediate dismissal.

6. Employment “At Will” In consideration of my employment, I agree to conform to the rules and regulations of StorageOne, and my employment and compensation is “at will” in that they can be terminated with or without cause, and with or without notice, at any time, at the option of either StorageOne or myself, except as otherwise provided by law. I understand that no manager or representative of StorageOne, other than the President of StorageOne, has authority to enter into any agreement for employment for any specified period of time or to make any agreement or contract to the foregoing, and that any promises to the contrary will only be relied upon by me if they are in writing and signed by the President of StorageOne.
I have read and agree to the background release form:*
- Yes
- No

(Employer’s name)	Reason

Name	Years Known	Address	Telephone	Occupation

Application for Employment

I. Personal Information

II. Educational History

III. Employment Record

IV. References

V. Work Availability

VI. Salary / Hourly Rate Requirements

Background Research Release