Application - Businesss Office - Count Team : Career Opportunities : Development Homes, Inc.

PERSONAL INFORMATION

First Name (Required)

Last Name (Required)

Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Phone (Required)

Please enter in this format (###)###-####

Cell Phone

Please enter in this format (###)###-####

E-mail Address (Required)

POSITION

Please tell us what Gaming position you are applying for: (Required)

Select One

Are you 21 years of age or older? (Required)

Are you eligible to work in the United States? (Required)

Have you ever been employed by DHI? (Required)

If yes, when?

Month

Day

Year

Please list the dates

If yes, last name while employed at DHI

EDUCATION

Degree or Major

Vocational/College Name

Location

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Did you graduate?

Degree or Major

EMPLOYMENT EXPERIENCE HISTORY

List below all present and past employment, beginning with your most recent, include any job-related military service assignment and volunteer activities. Applications must be complete for consideration. "See resume" is NOT considered complete.

Name and Address of Company

Dates employed

Start Date

–

End Date

Job Title:

Summary of duties:

Reason for leaving:

Supervisor:

Please note name if it was different during employment:

May we contact for a reference?

Phone Number:

Please enter in this format (###)###-####

Name and Address of Company

Dates employed

Start Date

–

End Date

Job Title:

Summary of duties:

Reason for leaving:

Supervisor:

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Please note name if it was different during employment:

May we contact for a reference?

Phone Number:

Please enter in this format (###)###-####

Name and Address of Company

Dates employed

Start Date

–

End Date

Job Title:

Summary of duties:

Reason for leaving:

Supervisor:

Please note name if it was different during employment:

May we contact for a reference?

Phone Number:

Please enter in this format (###)###-####

INTEREST/AVAILABILITY

Work or personal experience related to the position for which you are applying for:

BACKGROUND CHECKS AND REGISTRY INFORMATION

Have you EVER been convicted or a misdemeanor or felony crime? (Required)

If Yes, give date(s), offense(s), and disposition

Do you have a current and valid Driver's License? (Required)

Do you have automobile insurance on your vehicle? (Required)

(You will be required to show proof of this upon hire.)

Applicants will be screened for driving violation through the Department of Motor Vehicles. If you are hired, continued employment is conditional, pending final results of your driving record.

Have you had any violations on your driving record over the last three years? (Required)

If, yes please explain

Referral Source: How did you hear about Development Homes?

Name of DHI Employee:

First Name

Last Name

REFERENCES

Please list three professional references that you have known for at least 1 year. Please fill out all information completely.

Name:

Phone Number:

Please enter in this format (###)###-####

Company and Address:

Relationship:

Name:

Phone Number:

Please enter in this format (###)###-####

Company and Address:

Relationship:

Name:

Phone Number:

Please enter in this format (###)###-####

Company and Address:

Relationship:

APPLICANT'S STATEMENT

I certify that the information I have provided on this application is true and complete to the best of my knowledge. I authorize Development Homes, Inc. (DHI) to investigate my work history and verify data given on this application, on related papers, and in interviews. Any misrepresentation or omission of any facts may result in denial of employment or if employed, termination.

I understand that DHI follows an “employment at will” policy, in that I or the employer, may terminate my employment at any time, or for any reason consistent with applicable state or federal law. I understand that this application is not a contract for employment.

I authorize DHI to conduct reference checks from either my previous or current employers. I provided employment or personal references and authorize DHI to conduct reference checks. I fully release all parties, from all liability for damages or claims which may arise or result from any reference information gathered pursuant to this authorization.

My typed electronic signature below indicates that I agree to all of the above terms.

Electronic Signature: (Required)

Electronic Signature Date: (Required)