Please complete this form and click on submit so that A-1 Rentals may review your application, or download an application form and mail or fax it to A-1 Rentals.

Personal Information

Name
Present Address
Permanent Address
Phone Number
Referred By

Employment Desired

Position
Date You Can Start
Salary Desired
Are You Employed? YesNo
If So, May We Inquire of Your Present Employer? YesNo
Have You Ever Applied to A-1 Rentals Before? YesNo
If So, When Did You Apply?

Education History

Junior High School
Address
Years Attended
Did You Graduate YesNo
Subjects Studied
Senior High School
Address
Years Attended
Did You Graduate YesNo
Subjects Studied
College
Address
Years Attended
Did You Graduate YesNo
Subjects Studied
Trade, Business, or Correspondence School
Address
Years Attended
Did You Graduate YesNo
Subjects Studied

Former Employers

Most Recent Employer
Address
Employment Dates
Salary
Position
Reason For Leaving
Employer
Address
Employment Dates
Salary
Position
Reason For Leaving
Employer
Address
Employment Dates
Salary
Position
Reason For Leaving
Employer
Address
Employment Dates
Salary
Position
Reason For Leaving

References

Reference Name
Address
Business
Years Known
Reference Name
Address
Business
Years Known
Reference Name
Address
Business
Years Known

Authorization

"By submitting this application I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative. This waiver does not permit release or use of disability-related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws."




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