Job Application

Please print, fill out, sign and deliver your job application and resume to:

Mandel Property Services, Inc.
Attn: Laura Kleczkowski
301 East Erie Street
Milwaukee, WI 53202
Fax: 414-347-3607

Job Application Form

Date	/ /
First Name
Last Name
Middle Name
Social Security No.	/ /
Present Address
Street
City
State
Zip
Phone No.
Previous Address
Street
City
State
Zip

CITIZENSHIP

If you are not a u.s. citizen, can you provide, upon employment, a visa or alien registration # to show eligibility to work?

Yes

If related to anyone in our employment, state name & department

Referred by:

EMPLOYMENT DESIRED
Position
Date you can start
Desired salary
Are you currently employed?
If yes, may we inquire of your present employer?
Have you ever applied to this company before?
If yes, when?

FORMER EMPLOYERS (list last four employers with most recent one first)
Job Position 1.
Date From (mo/year)	/
Date To (mo/year)	/
Name & Address of Employer
Position & Salary
Supervisor’s Name & Phone Number
Reason for Leaving

Job Position 2.
Date From (mo/year)	/
Date To (mo/year)	/
Name & Address of Employer
Position & Salary
Supervisor’s Name & Phone Number
Reason for Leaving

Job position 3.
Date From (mo/year)	/
Date To (mo/year)	/
Name & Address of Employer
Position & Salary
Supervisor’s Name & Phone Number
Reason for Leaving

Explain any periods of unemployment in the last five years:

EDUCATION
High School
Name and location of school
Years attended
Degree earned
Date graduated
Subjects studied

College
Name and location of school
Years attended
Degree earned
Date graduated
Subjects studied

Other
Name and location of school
Years attended
Degree earned
Date graduated
Subjects studied

What professional certificates or designations do you hold?

Application will not be considered if this section is not completed

Have you ever been convicted of a felony?

Yes No

If yes, state offense, date, court, place where offense occurred:

I ________________________ acknowledge that I have been informed that pursuant to my application with the Mandel Group, Inc./Mandel Property Services, Inc., an investigative consumer report which may include employment, professional and/or personal references, criminal background checks and education verification as well as public record information, may be prepared and by my signature below hereby authorize the preparation of this report.

I understand that if this report is used as a basis for adverse action, that I will be informed, and further, that I have the right to contact personnel evaluation, inc., 11138 w. greenfield avenue, milwaukee wi 53214, the agency which will provide this report, toll free at 1-888-734-2727 to obtain a free copy of my consumer report.

Notice: The consumer reporting agency that provides this report will not be party to any decision to take adverse action and will be unable to provide the specific reason(s) why the adverse action was taken. This notice is provided under the provisions of the fair credit reporting act [15 u.s.c. s 1681]. a complete explanation of your rights under the act may be obtained by referring to the federal statute. you may have additional rights under applicable state law.

I certify that the information contained in this application is correct to the best of my knowledge. I understand that any misstatement or omission of information is grounds for dismissal. I authorize investigation of all statements contained in this application. I further authorize the employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and I release all parties from all liability for any damage that may result from furnishing that information to you. I authorize investigation of my credit history. I understand that my employment and compensation shall be "at will" and can be terminated by the employer or employee with or without cause. I further understand that the application form does not bind the employer or employee to any specific terms, conditions or period of employment and that any oral statements or promises to the contrary are not binding upon the employer. all such statements must be made in wirting and signed by an officer of the employer.

Signature: ________________________ Date: _________

Send to Printer

Please print, fill out, sign and deliver your job application and resume to:

Mandel Property Services, Inc.
Attn: Laura Kleczkowski
301 East Erie Street
Milwaukee, WI 53202
Fax: 414-347-3607

An Equal Opportunity Employer