Job Application Application for EmploymentApplicants may be tested for illegal drugs. Please complete all requested information. Company Step 1 of 5 Applicant Information Step 1: Applicant Information Start with your name, contact information, and current address. Name and Contact Application Date First Name * Middle Name Last Name * Maiden Name Email Address * Telephone * Do You Have a Functional Cell Phone With Internet Access?SelectYesNo How Did You Hear About Alee Services? Current Address Number Street City State Zip How Long at Present Address Other Applicant Details If Under 18, Please List Age Prior Last Names Place of Birth Any Addresses Outside of MN in the Last 5 Years? Step 2: Position, Availability, and Education Tell us what position you are applying for, when you can work, and your education history. Position Preferences Position Applied For (1) * Position Applied For (2) Salary Desired How Many Hours Can You Work Weekly? Can You Work Evenings Until 7:30pm?SelectYesNo Employment DesiredSelectFull-time onlyPart-time onlyFull-time or part-time When Are You Available for Work? Days and Hours Available No Preference Monday Tuesday Wednesday Thursday Friday Saturday Sunday High School Name of School Location / Mailing Address Number of Years Completed Major / Degree College Name of School Location / Mailing Address Number of Years Completed Major / Degree Business or Trade School Name of School Location / Mailing Address Number of Years Completed Major / Degree Professional School Name of School Location / Mailing Address Number of Years Completed Major / Degree Step 3: Background, Transportation, and Experience Complete the background, transportation, disability-care experience, and physical requirement questions. Background Questions Have You Ever Been Convicted of a Crime?SelectYesNo If Yes, Explain Convictions, Offenses, Dates, Sentences, and Rehabilitation Felony or Other Violations That May Restrict Work With Vulnerable People? Driver License Do You Have a Driver's License?SelectYesNo Driver's License Number State of Issue License TypeSelectOperatorCommercial (CDL)Chauffeur Expiration Date Transportation and Driving History Do You Have a Safe, Clean Vehicle to Transport Clients?SelectYesNo Means of Transportation to Work Accidents During Past Three Years?SelectYesNo How Many Accidents? Moving Violations During Past Three Years?SelectYesNo How Many Moving Violations? Experience With People With Disabilities Experience Working With People With Disabilities Years of Experience Working With People With Disabilities Additional Information or Qualifications Physical Requirements Can You Lift Over 30 lbs?SelectYesNo Can You Bend to the Floor and Pick Up 15 lbs?SelectYesNo Can You Climb a Ladder?SelectYesNo Can You Stand for Two Hours?SelectYesNo Step 4: Employment History List your three most recent jobs. A resume can also be attached on the final step. Previous Employment 1 Name of Employer Address City State Zip Phone Number Last Job Title Name of Last Supervisor Employment Dates - From Employment Dates - To Pay or Salary - Start Pay or Salary - Final Reason for Leaving Jobs Held, Duties, Skills, Advancement, Promotions Previous Employment 2 Name of Employer Address City State Zip Phone Number Last Job Title Name of Last Supervisor Employment Dates - From Employment Dates - To Pay or Salary - Start Pay or Salary - Final Reason for Leaving Jobs Held, Duties, Skills, Advancement, Promotions Previous Employment 3 Name of Employer Address City State Zip Phone Number Last Job Title Name of Last Supervisor Employment Dates - From Employment Dates - To Pay or Salary - Start Pay or Salary - Final Reason for Leaving Jobs Held, Duties, Skills, Advancement, Promotions Step 5: References and Signature Provide references, upload an optional resume, and complete the final acknowledgment. Reference 1 Name Position Company Address Telephone Reference 2 Name Position Company Address Telephone Final Questions May We Contact Your Present Employer?SelectYesNo Did You Complete This Application Yourself?SelectYesNo If Not, Who Completed It? Electronic Signature Electronic Signature - Type Your Full Name * Signature Date Resume Upload Resume or Supporting Document Optional. Accepted file types: PDF, DOC, DOCX, TXT, RTF. Acknowledgment I understand that if I am hired, Alee Services is an at-will company and has a six-month probationary period to ensure that I am a good fit for the company. I certify that the information provided in this application is true and complete to the best of my knowledge. Previous Next Submit Application
