Position Applying For:*
Cleaning Staff Leasing Agent Maintenance Staff Property Manager

Please Indicate Apt. Complex*
Spring Lake Apartments

Today's Date*

First Name*

Middle Initial*

Last Name*

Date of Birth*

Social Security Number*

Driver's License Number*

State of Issue*

Current Address (include City, State & Zip)*

Previous Address (include City, State & Zip)*

Home Phone*

Cell Phone*

Work Number

Email Address*

Are you legally authorized to work in the United Sates?*
Yes No

Have you ever been convicted of a felony?* Yes No

If yes, please explain

Type of Employment* Full-Time Part-Time Either full or part

If seeking part time work, how many hours are you available to work per week?

Days Available:  Sunday   Monday   Tuesday   Wednesday   Thursday   Friday   Saturday  

Date available to start*

Wage or salary requirement*

Start Date (MM/YYYY)*

End Date (MM/YYYY)*

Employer/Company Name*

Current Supervisor Name*

Employer Address*

Work Number*

Cell Phone

Fax Phone

Job Title*

Wage*

Hours worked per week*

Reason for leaving*

Job Duties*

Start Date (MM/YYYY)

End Date (MM/YYYY)

Employer/Company Name

Previous Supervisor Name

Employer Address

Work Number

Cell Phone

Job Title

Wage

Hours worked per week

Reason for leaving

Job Duties

Start Date

End Date

Reserve Status
Active   Inactive  

Reference Name*

Title/Relationship*

Address*

Phone*

Occupation*

Reference Name*

Title/Relationship*

Address*

Phone*

Occupation*

Reference Name*

Title/Relationship*

Address*

Phone*

Occupation*

How were you referred to us?  Basco Website   Employee   Employment Agency   Newspaper   Resident  

Type your Name (electronic signature)*

Today's Date*