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  Employment Application
 
Please fill out our online application for employment. You may also download our employment application. Print and complete the application. You may fax your application to LTD Human Resources department at (757) 424-0541.

Qualified applicants receive equal consideration. No question is asked for the purpose of excluding any applicant due to race, creed, color, national origin, religion, age, sex, handicap, veteran status, marital status, sexual orientation, or any other characteristic protected by law. We are equal opportunity employer.
  LTD Employment Application
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  LTD MANAGEMENT COMPANY, INC. IS AN EQUAL OPPORTUNITY EMPLOYER AND CONSIDERS ALL APPLICANTS EQUALLY WITHOUT REGARD TO RACE, SEX, AGE, RELIGION, NATIONAL ORIGIN DISABILITY, CITIZENSHIP, COLOR, OR VETERAN STATUS.
Application For Employment

Date of Application:

Position(s) applied for:

 

Location:

 
Referral Source:





Name: (Last Name, First, M.I.):  
Address: City:
State: Zip:
Home Telephone No.:   Alternate No./Cell Phone:
Email Address: (optional)
Have you ever filed an application with LTD?   -Date Applied:
Have you ever been employed by LTD before?  -From: To:       
Are You Currently Employed: If Yes, may we contact your current employer?
Are you lawfully permitted to work in the United States?
NOTE: All new hires will be required to prove eligibility to work in the U.S. in accordance with federal law.
Are You Available to Work:
Are you on lay-off and subject to recall: Can you travel if a job required it:
Describe special skills and qualifications acquired from employment or other volunteer or charitable experience.
Are you able to perform all the tasks of the job applied for with or without reasonable accommodations?       
List professional, trade, business or civic activities and offices held, including U.S. military service, which are relevant to your ability to perform the position for which you are applying. Omit any references to organizations or activities that would indicate race, religion, age, sex, national origin or ancestry, sexual orientation, disability or political persuasion.
Give name, address and phone number of three professional / work references not related to you.
1) Name of Reference: Business:
Address: Phone:
2) Name of Reference: Business:
Address: Phone:
3) Name of Reference: Business:
Address: Phone:
Have you ever been convicted of a felony? - (If Yes, please explain)
List any felony convictions related to the job for which you are applying. If applying for a position that requires driving, also list any convictions for driving under the influence or moving violations. (You need not answer "yes" or list any convictions that has been expunged, sealed, or statutorily eradicated. A conviction record will not necessarily bar an applicant from employment. Factors such as relation to the job, age and time of offense, seriousness and nature of violations, and efforts at rehabilitation will be into account.)
Education
Name & Location of School High School College/University Other
School Name:
Years Completed(Select):
Diploma / Degree / Equivalent:
Describe Course of Study:
Describe Specialized Training, Apprenticeship, Skills & Extra-Curricular Activities:
Honors Received:
Employment Experience
(List your last four employers. Start with present or most recent job. Do not skip or omit jobs. Include service assignments and volunteer activities.)
1)Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Salary:
Work Performed : Position/Title:
Reason for Leaving:
2)Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Salary:
Work Performed: Position/Title:
Reason for Leaving:
3)Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Salary:
Work Performed : Position/Title:
Reason for Leaving:
4)Employer: Address/City:
From (MM/YYYY): To (MM/YYYY):
Supervisor: Phone:
Salary:
Work Performed : Position/Title:
Reason for Leaving:
APPLICANT'S AUTHORIZATION -READ CAREFULLY BEFORE SIGNING

A physical examination may be required of all job applicants after a job offer is extended but prior to beginning work, which includes testing for drug and alcohol use, to verify fitness to work. The result of such examination will not be used to disqualify an applicant except to the extent that any disability discovered would, even with reasonable accommodation, preclude the safe adequate performance of the job in question. However, applicants who test positive for illegal drugs or alcohol shall be disqualified from employment.

I hereby affirm that the information on this application (and accompanying documents, if any) is true and complete to the best of my knowledge. I also agree that any misstatement, falsified information, or omission deemed significant by LTD Management may disqualify me from further consideration for employment and/or may be considered justification for discharge if discovered after an offer of employment has been extended to me.

I understand that if a job offer is extended, I may be required to successfully pass background investigation as a condition of employment. I understand that I will be required to sign a consent form for this purpose, and in connection with this investigation, I authorize all persons, schools, companies, corporations, and organizations named in this application (and accompanying documents, if any), law enforcement agencies, and credit bureaus to release any information concerning my background, and I hereby release them and LTD and its representatives from any and all claims of liability in law and in equity that may arise out of conducting an investigation with respect to the information contained in this application and/or my eligibility for employment, in making any requests relating to same, out of the release and attainment of information regarding same, and for relying on any requests relating to same, out of the release and attainment of information regarding same, and for relying on any information received.

I understand that nothing in this application or any other LTD document, or an acceptance of employment, creates or is an employment contract between LTD and myself, and that should I be hired, my employment would be for no fixed duration, and may be terminated by LTD or myself at any time with or without cause of notice. I understand that no oral or written statement to the contrary, unless contained in a document signed by Managing Member, shall change this relationship, or should be relied upon by myself.

Date  
Please check to authorize  
THIS APPLICATION WILL BE CONSIDERED FOR 90 DAYS FROM THE DATE IT IS SUBMITTED SHOULD YOU WISH TO BE CONSIDERED FOR EMPLOYEMENT AFTER THAT DATE; YOU MUST SUBMIT A NEW APPLICATION.
1564 Crossways Blvd. Chesapeake, VA 23320 Tel: (757) 420-0900 Fax: (757) 424-0541 Email: support@ltdmanagement.com
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