Careers

Job Application Form

Are you interested in becoming a part of The Servants, Inc.? Simply fill out the application form below!
The Servants, Inc. is an equal opportunity employer.

Personal Information

Name *

Home Phone

Cell Phone

Email *

Best method to contact you? *

Present Address

Street *

City *

State *

Zip Code *

Previous Address (if used in last 5 years)

Street

City

State

Zip Code

Employment Information

Position Applying For *

Date You Can Start *

Salary/Pay Requirements

Hours Able to Work * Part Time
Full Time

Are you willing to work nights, weekends, and holidays if needed? * Yes
No

Are you legally eligible to work in the U.S.? * Yes
No

Have you ever been employed here before? If so, list dates. * Yes (from to )
No

Are you currently employed now? * Yes
No

If so, may we contact your current employer? * Yes
No

Do you have reliable transportation to/from work? * Yes
No

Education History

High School

Name and Location

Years Attended

Diploma/GED Obtained?

College

Name and Location

Years Attended

Degree Obtained?

Trade School

Name and Location

Years Attended

Certificate Obtained?

Other Training/Skills/Certificates

Are you currently or have you ever been a member of the United States Armed Forces? If so, list dates and rank. * No
Yes
(from to )
Rank:

Previous Employment

Previous Employer #1

From to

Name and Location

Reason for Leaving

Previous Employer #2

From to

Name and Location

Reason for Leaving

Previous Employer #3

From to

Name and Location

Reason for Leaving

Previous Employer #4

From to

Name and Location

Reason for Leaving

References (Non-family)

Reference #1 Name

Reference #1 Address

Reference #1 Years Known

Reference #2 Name

Reference #2 Address

Reference #2 Years Known

Reference #3 Name

Reference #3 Address

Reference #3 Years Known

Reference #4 Name

Reference #4 Address

Reference #4 Years Known

Other Information

Are you able to lift at least 50 pounds? * Yes
No

Are you able to work in varying climates? * Yes
No

I certify that all statements made herein and on the enclosed resume (if applicable) are true and correct to the best of my kNowledge. I authorize investigation of all statements herein recorded. I release from liability all persons and organizations reporting information required by this application. *