ServiceXpress
APPLICATION OF EMPLOYMENT
It is the policy of this company to provide equal employment opportunities to all
qualified persons without regard to race, creed, color, religious belief, sex, age, national
origin, physical or mental handicap or veteran status.
Es la política de esta compañía proporcionar posibilidades de empleo iguales a todas las
personas calificadas sin respecto a la raza, al credo, al color, al estado de creencia de
religiosa, del sexo, de la edad, del origen nacional, de la desventaja física o mental o a los
veteranos.
Note: Please type or print your answers. If you print, please do so in blue or black ink and write neatly. An illegible
application may preclude you from consideration.
Nota: Por favor escriba a máquina o imprima sus respuestas. Si imprime, hágalo en tinta azul o negra y escriba
cuidadosamente. Una aplicación ilegible puede impedirte de ser considerado/a.
PERSONAL INFORMATION / INFORMACIÓN PERSONAL
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Name / Nombre :
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Middle Initial / Inicial :
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Last Name / Apellido :
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Address / Direccion: |
Street and Apt. # / Calle y # de Apt |
City / Ciudad :
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State / Estado :
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Zip Code / Codigo Postal :
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Telephone / Telefono :
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Cell Phone / Mobil :
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Have you ever been convicted of a felony? /Te han condenado por un crimen? |
Yes No |
If answered yes, please explain / Si contestaste sí, explique por favor: |
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Have you ever served in the U.S. Military? / ¿Has desempeñado servicios en los militares de
Estados Unidos? |
Yes/Si No/No |
If yes, Please provide the following information / Si sí, proporcionar por favor la información
siguiente: |
Branch of Service / Rama del servicio: |
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Rank at time of separation / Fila en la época de la separación: |
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I Served from/ Serví de : |
to : |
Special Honors / Honores especiales: |
In case of emergency contact/En caso de emergencia contacte a: |
Name/Nombre: |
Relationship/Relacion: |
Phone Number/No. Telefonico: |
STANDARDS & RULES WE WORK BY
At Service General, we are excited to have you join our team. We are committed to quality work
and superior customer service in every aspect of our business. Over time, we have learned what
we need to do to maintain a high quality workplace and enable our associates (team members or
employees) to provide superior service.
We hold all associates accountable to each other to work within four basic operating standards:
(1) RESPONSIBILITY/OWNERSHIP: All associates must take responsibility for their work
and actions. You must make your own commitments and keep them.
(2) HONESTY/INTEGRITY: All associates must demonstrate exemplary integrity. The truth,
the absolute truth – no sugar coating.
(3) VALUE/FAIRNESS: Value derives from providing real benefits to our clients and each
other. Value therefore derives from a fundamental sense of fairness.
(4) SAFETY/QUALITY: We must make high quality operations an absolute priority. No short
cuts, no patch ups. High quality means total safety orientation.
In our company manual (available at the office or on the internet www.servicexpressworks.net)
we have provided specific rules that cannot be violated, which are based on these operating
standards. Willful or wanton disregard of our company rules, or deliberate violations of our
rules, or disregard for our standards of behavior, or gross negligence of duties will result in
automatic dismissal at our company management’s sole discretion.
Below is a summary list of specific offenses mentioned in our manual that was provided to you
upon hiring (in accordance with our operating standards):
RESPONSIBILITY/OWNERSHIP
* Taking unauthorized leave or failing to show up at work for more than three (3) consecutive
days without notifying a supervisor; or Imprisonment
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INTEGRITY/HONESTY
* Making false statements or omitting pertinent facts on an employment application or in an
employment interview
* Stealing or deliberately damaging the company's or other employees’ property;
* Falsifying or destroying company documents or computer files;
* In the case of commercial drivers: Transporting unauthorized passengers in company vehicles
* In the case of salespersons: Salespersons who make false claims about the product or sell
unauthorized products on company time.
FAIRNESS/VALUE
* Threatening, assaulting, fighting with, or harassing another employee or anyone else
encountered during the course of business.
SAFETY/QUALITY
* Possessing a weapon at work.
* Reporting to work under the influence of alcohol, narcotics, or other drugs, unless the drug was
prescribed for the employee by a physician.
We are all accountable to each other for our actions and behavior. Any associate may initiate an
employee’s termination procedure however final employment decisions can only be made by
designated management.
If there is any part of this that you do not understand, or need further explained feel free to
contact me at anytime. My office door is open and you can also contact me on my cell pone
(302) 245 3223 or by email: christine.atkins@servicegeneral.net
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Date |
Please answer Yes or NO to the following questions: |
1. Have you ever been employed by ServiceGeneral Corp.? |
Yes No |
2. Are you between the ages of 16-39? |
Yes No |
If yes, please provide your date of birth: |
3. Are you a veteran of the U.S. Armed Forces? (if NO, go to question 4) |
Yes No |
IF YES, are you a member of a family that received Supplemental Nutrition Assistance Program ( SNAP)
benefits (Food Stamps) for at least 3 months during the 15 months before you were hired? |
Yes No |
If YES, please provide name of primary recipient: |
and City and State where benefits were received: |
Case ID Number: |
Are you a Veteran entitled to compensation for a service-connected disability? |
Yes No |
Where you discharged or released from active duty within 1 year before you were hired? |
Yes No |
Where you unemployed for a combined period of at least 4 weeks but less than 6 months (whether or not
consecutive) during the year before you were hired? |
Yes No |
*if you have your DD-214 readily available,please provide a copy to your Employer* |
4. Are you a member of a family that received Supplemental Nutrition Assistance Program ( SNAP) benefits for
the 6 months before you were hired? |
Yes No |
Did you receive SNAP benefits for at least a 3-month period withing the last 5 months, but you are no longer
receiving them? |
Yes No |
If YES to either question, please provide name of the primary recipient: |
and City and State where benefits were received: |
Case ID Number: |
5. Were you reffered to an employer by a Vocational Rehabilitation Agency approved by a State? |
Yes No |
OR, by an Employment Network under the Ticket to Work Program? |
Yes No |
OR, by the Department of Veterans Affairs? |
Yes No |
Voc Rehab Agency Contact Name: |
Voc Rehab Agency Phone Number: |
6. Are you a member of a family that received Temporary Assistance to Needy Families ( TANF) assistance for
at least the last 10 months before you were hired? |
Yes No |
Are you a member of a family that received TANF benefits for any 18 months beginning after August, 5,
1997, and the earliest 18-month period beginning after August 5, 1997, ss ended within 2 years before you were
hired? |
Yes No |
Did you family stop being elibigle for TANF assistance within 2 years before you were hired because of a
Federal of State law limited the maximum time those payments could be made? |
Yes No |
If YES to any question, please provide name of the primary recipient: |
and City and State where benefits were received: |
Case ID Number: |