Application Form

Equal Employment Opportunity Statement:

Employment decisions will be based on the principles of equal opportunity. All personnel actions (recruiting, hiring, training, promotion, compensation, etc.) are administered without regard to any characteristic protected by state, federal or local law, assuming said characteristic does not interfere with the performance of essential job functions. Reasonable accommodations will be made for disabilities and religious beliefs. Please inform us of any necessary accommodations to the application process.

Personal Information

How did you hear about Duvall Homes, Inc?

Have you applied for a position with us before?

Have you ever been employed with us before?

Are you currently employed?

On what date would you be available for work?*

Are you available to work:*

Are you legally permitted to work in the United States?*

NOTE: Proof of eligibility will be required within three working days of employment.*

Are you 21 years of age or older?*

Are you a veteran of the military service?

Are you subject to be re-activated in the military based on your current status?

Are you willing to take drug tests at the Company's request?*

Have you ever gone by a name other than the one listed above?*

Have you been convicted or had an adjudication withheld of a crime (e.g. Felony, misdemeanor or traffic) as a juvenile or adult?*

Education

Diploma obtained?

Diploma obtained?

Diploma obtained?*

Employment History

May we contact this employer?*

May we contact this employer?*

May we contact this employer?

Additional Information

You may exclude information which would reveal sex, race, religion, national origin, age, color, disability, sexual orientation or other protected status.

Do you have any foreign language skills?

Can you perform all necessary job functions with or without reasonable accommodation?

APPLICANT'S STATEMENT

I certify that the information provided in this application is true, to the best of my knowledge.

I understand that providing false or misleading information at any time during the application and interview process may lead to refusal to hire or discharge from the Company. If I become employed by the Company, I agree to follow all rules and regulations of the Company as they develop and change.

I allow the Company to conduct investigations on me, my background and my performance, and am aware that such investigations will become a part of my employment record. With this, I authorize the Company to speak with my acquaintances, personal and professional, to gather information about me.

I authorize all former employers and references to provide any information about me to the Company, and release them of liabilities and damages of all kinds for providing this information. I authorize the Company to verify the accuracy of the information within this application. I also authorize the release of my educational transcripts to the Company for education verification purposes.

I release Duvall Homes, Inc. from liability for collecting information about me and using it to make employment decisions.

If I become employed by the Company, I understand that the employment relationship will be “at will,” and that the “at will” status may not change at any time unless specifically approved, in writing, by the CEO of the Company.

I agree that if I become indebted to the Company, I will be responsible for repaying the total owed upon termination from the Company. If I do not repay the sum prior to my final paycheck being received, the money owed will be deducted from my pay.

This application for employment is valid for the next 90 days. I understand that if I wish to be considered for employment after this period of time, I must apply again.