Employment Application Contact InformationPlease Select a Location(Required)Select a LocationCountry Club Road (Winston-Salem, NC)Witt Street (Winston-Salem, NC)Battleground Court (Greensboro, NC)Maynard Road (Cary, NC)First Name(Required) Last Name(Required) Email(Required) Phone(Required)Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Are you 18 years or older?(Required) Yes No Have you ever been convicted of a crime other than a minor traffic violation?(Required) Yes No If yes, please explain:(Required)EducationSelect Highest Level of Education Completed(Required)High SchoolSome CollegeAssociate's DegreeBachelor's DegreeMaster's DegreeTrade SchoolHigh School Name High School Name High School Location Did you graduate high school? Yes No College Name College Location College Major Did you graduate college? Yes No Business or Trade School Name Business or Trade School Location Business or Trade School Major Did you graduate business or trade school? Yes No Degrees Obtained Job InformationJob Applying For How did you hear about Ruff Housing? Have you ever applied here before? Yes No If so, when? Have you ever worked for this company before? Yes No If so, when? If yes, give the name(s) if different from the one given on this application Do you have any relatives that work for Ruff Housing? Yes No If so, list their names and your relationship to them What is the earliest date that you could report to work? MM slash DD slash YYYY Type of Position Applying for Temporary Full-time if available Part-Time If temporary, date starting MM slash DD slash YYYY If temporary, date ending MM slash DD slash YYYY Shifts you are available to workMonday 5am - 7am 7am - 7pm 7pm - 10pm Tuesday 5am - 7am 7am - 7pm 7pm - 10pm Wednesday 5am - 7am 7am - 7pm 7pm - 10pm Thursday 5am - 7am 7am - 7pm 7pm - 10pm Friday 5am - 7am 7am - 7pm 7pm - 10pm Saturday 5am - 7am 7am - 7pm 7pm - 10pm Sunday 5am - 7am 7am - 7pm 7pm - 10pm Current EmploymentAre you currently covered by a non-compete agreement with any former employer? Yes No If yes, identify employer Work History 1Date Started MM slash DD slash YYYY Date Ended MM slash DD slash YYYY Company Name Company Address Company State Starting Salary Final Salary If this is your current employer, may we contact? Yes No Supervisor's Name/Title Your Position/Title Your Responsibilities/Duties Reason for Leaving Work History 2Date Started MM slash DD slash YYYY Date Ended MM slash DD slash YYYY Company Name Company Address Company State Starting Salary Final Salary If this is your current employer, may we contact? Yes No Supervisor's Name/Title Your Position/Title Your Responsibilities/Duties Reason for Leaving Work History 3Date Started MM slash DD slash YYYY Date Ended MM slash DD slash YYYY Company Name Company Address Company State Starting Salary Final Salary If this is your current employer, may we contact? Yes No Supervisor's Name/Title Your Position/Title Your Responsibilities/Duties Reason for Leaving Professional Reference 1Reference 1 Name Reference 1 Occupation Email Address PhoneYears Known Professional Reference 2Reference 2 Name Reference 2 Occupation Email Address PhoneYears Known Professional Reference 3Reference 3 Name Reference 3 Occupation Email Address PhoneYears Known Additional InformationWhy do you believe you would be a good fit for Ruff Housing?Agree and SubmitI authorize, without liability, investigation of all statements in this application. I authorize all schools which I attend and all previous employers to furnish to Ruff Housing my record, reason for leaving and all information they may have concerning me, and hereby release them and Ruff Housing for all liability for any damage whatsoever arising therefrom. I authorize my neighbors, friends or others with whom I am acquainted or who are acquainted with me to furnish Ruff Housing with information used in connection with the evaluation of my qualifications as a prospective employee. I release such persons and organizations from any legal liability in making such statements. I understand that in the event of my employment by Ruff Housing it shall be sufficient cause for dismissal if any of the information I have given in this application is false or if I have failed to give any information herein requested. I understand that proof of identity and work authorization will be required upon employment in accordance with federal regulations. In the event of my employment by Ruff Housing, I agree to abide by all present and subsequently issued rules of the Company. If hired, in consideration of my employment, I agree to comply with the policies, standards, and business ethics of Ruff Housing. I understand that my employment is at will and may be terminated by me or the company at any time without additional consideration or notice. I understand that no representative of Ruff Housing except one of the Owners has the authority to commit to any definite term of employment or alter the at-will employment agreement, and any such agreement must be in writing.Agree to the Terms(Required) I have read and agree to the terms above Δ
