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  • Your Personal Information

  • All prospective employees will receive consideration without discrimination because of race, color, creed, age, origin or handicap. All information provided herein will be kept confidential.
  • please tell us what hours you are available for work each day of the week.
    MondayTuesdayWednesdayThursdayFridaySaturdaySunday 
  • Education

  • please list your previous employers, the dates you worked and the position you held
    SchoolLocationCourse of study?YearsDegree 
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  • Previous Employment

  • please list your previous employers, the dates you worked and the position you held
    EmployerAddressDatesPositionPhone 
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  • Please list 3 references, at least 2 professional.
    NameRelationshipStateYears knownPhone 
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    A conviction will not necessarily disqualify an applicant from employment.
  • CREDENTIALS / SPECIALIZED SKILLS & QUALIFICATIONS / EQUIPMENT OPERATED

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    Accepted file types: jnp, doc, png, gif, docx, pdf.
  • Drop files here or
    Accepted file types: jnp, doc, png, gif, docx, pdf.
    You can upload more than one.
  • Drop files here or
    Accepted file types: jnp, doc, png, gif, docx, pdf.
  • The Legal Stuff

  • PLEASE READ THE FOLLOWING STATEMENT CAREFULLY BEFORE SIGNING THIS APPLICATION. ONLY THOSE APPLICATIONS THAT ARE SIGNED AND DATED ARE CONSIDERED VALID. IF YOU HAVE ANY QUESTIONS REGARDING THESE STATEMENTS, PLEASE ASK BEFORE SIGNING.

    • I certify that all answers and statements I have made on this application (and resume or other supplementary materials) are true and complete without omissions.
    • I understand that any false information will be grounds for refusal to hire or for immediate discharge if discovered at a later date.
    • I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment Regal Home Services and for no other reason.
    • I understand that, as an applicant for a position with this company, I may be asked to demonstrate that I am capable of performing tasks which are pertinent to this job.
    • I also agree to immediately notify the company if I should be convicted of a felony while my application is pending, or during my period of employment, if hired.
    • I authorize any of the persons or organization named in this application to give you complete information and records regarding my employment conduct, performance, and attendance (except for absences covered by law), education, character and qualifications. All former employers who provide such information are indemnified and released from liability arising from such disclosures.
    • All applicant rights to confidentiality and privacy shall be protected in accordance with the law, and all records related to this policy will be preserved in accordance with company policies on privacy and confidentiality of sensitive records.

    I hereby declare that all statements contained in this application are true and correct and understand that false or inaccurate information in the application will be the basis for termination. I hereby authorize Regal Home Services to investigate my background and verify this information. I authorize Regal Home Services to release the information contained herein and its findings and work history of my employment to other firms or person upon request.

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Broward

8333 W McNab Road
Suite 203
Tamarac, Fl 33321
Tel: 954-714-3333
Fax 954-485-6101

Palm Beach

1615 South Congress Ave.
Suite 160
Delray Beach FL, 33445

Tel: 561-395-0505
Fax 561-395-0506

Miami-Dade

20801 Biscayne Blvd
Suite 403
Miami, FL 33180

Tel: 305-957-7225
Fax 305-957-7223

Regal Home Services 2017
Website desgined by Eight Ball Marketing
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