Team Member Application

First Name *

Middle Initial/Last Name *

Email Address *

Street Address *

City *

State/Province *

Zip/Postal Code *

Phone Number *

Date Available to Start *

Salary Desired *

Position Applying For *

Are you a citizen of the United States? *

Are you authorized to work in the United States? *

Have you ever worked for Tanglewood? If so, when? *

Have you ever been convicted of a felony? *

- Education -

High School *

School Full Address

From/To | MM/YYYY - MM/YYYY *

Did you graduate? *

What College(s) have you attended?

College(s) Full Address(es)

College From/To: MM/YYYY - MM/YYYY

Did you graduate?

College Degree(s)

- References -

Please provide the following information for three references. Ensure all of the information provided is about your references and is filled out completely and to the best of your knowledge.

Reference 1

Full Name *

Phone Number *

Email *

Relationship to You *

Reference's Place of Employment and Employers Address *

Reference 2

Full Name *

Phone Number *

Email *

Relationship to You *

Reference's Place of Employment and Employers Address *

Reference 3

Full Name *

Phone Number *

Email *

Relationship to You *

Reference's Place of Employment and Employers Address *

- Prior Employment -

Please provide us with the following information for the last three places you have been employed.

If you have been employed at less than 3 locations please write "N/A" for the remaining Prior Employment Spaces.

If you were self-employed, please fill out the information for your company as you were employed and put "Owner" as the name of your Supervisor.

Previous Employer 1

Company Name *

Previous Employer's Address *

Previous Employer's Phone Number *

Job Title & Responsibilities at Previous Employer *

Employed From/To: (MM/YYYY - MM/YYYY) *

Starting and Ending Salaries *

Why did you leave this employer? *

Name of Previous Supervisor for this Employer *

May we contact your previous supervisor? *

Previous Employer 2

Company Name *

Previous Employer's Address *

Previous Employer's Phone Number *

Job Title & Responsibilities *

Employed From/To: (MM/YYYY - MM/YYYY) *

Starting and Ending Salaries *

Why did you leave this employer? *

Name of Previous Supervisor for this Employer *

May we contact your previous supervisor? *

Previous Employer 3

Company Name *

Previous Employer's Address *

Previous Employer's Phone Number *

Job Title & Responsibilities *

Employed From/To: (MM/YYYY - MM/YYYY) *

Starting and Ending Salaries *

Why did you leave this employer? *

Name of Previous Supervisor for this Employer *

May we contact your previous supervisor(s)? *

- Military Service -

Military: Branch

Military From/To: MM/YYYY - MM/YYYY

Military Rank

Military Type of Discharge

- Driver's License -

Do you have a valid driver's license? *

If yes, in which state was it issued? *

What class? *

Expiration Date *

By signing my name below, I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Please sign below and click Submit to go on to the second step of the application process.

We look forward to meeting you!

Applicant Information Approval Signature