Application for Employment | Peachtree Centre

Peachtree Centre is an equal opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, national origin, citizenship, handicap or age. We assure you, the applicant, that your opportunity for employment depends solely on your qualifications. Applicants applying for positions with Peachtree Centre are required to meet the minimum qualifications or an equivalent combination of training and experience in reference to the position for which they apply, before any application may be given consideration.
How did you hear about this position
Other
Name of employee
Last Name*
First Name*
Middle Name
Maiden Name
Social Security Number*
Present Address*
Street Address Address Line 2 City State ZIP Code
Home Phone*
Other Phone
Email*
POSITION FOR WHICH YOU WISH TO APPLY:*
PLEASE LIST MACHINERY OR EQUIPMENT YOU CAN OPERATE:
SELECT THE HIGHEST LEVEL OF EDUCATION COMPLETED:*
DID YOU RECEIVE A HIGH SCHOOL DIPLOMA OR EQUIVALENT?*
- YES
- NO
DO YOU HOLD A DEGREE?*
IF SO, WHAT WAS YOUR MAJOR?*
PLEASE LIST ANY JOB RELATED CERTIFICATIONS OR LICENSES YOU CURRENTLY HOLD:
HAVE YOU EVER BEEN CONVICTED OF A CRIME OTHER THAN A MINOR TRAFFIC VIOLATION?
NATURE OF CHARGE DATE WHERE CONVICTED DISPOSITION
QUESTIONNAIRE:
In an attempt to ensure Peachtree Centre's continued commitment to Equal Employment Opportunities, we would appreciate your taking a moment to complete the questionnaire below. The Civil Rights Act of 1964 prohibits discrimination in employment practice because of race, color, religion, sex or national origin. P.L. 90-202 prohibits discrimination on the basis of age with respect to individuals who are at least 40, but less than 70 years old.
List
Date: Position Applied For: Race: Sex:

This information is required for EEO reporting purposes only. This section is removed before the application is evaluated or forwarded to the interviewer.
Employment History
Note:
1. Resumes are accepted, but the application must be completed in its entirety.
2. Incomplete applications will not be processed.
3. Begin with your most recent position.
4. List all positions (include military service, if any)
Employer
Name of Company
Phone
Address
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Duties
Name of Supervisor
Reason for leaving
May we contact?*
- Yes
- No
Employer 2
Name of Company
Phone
Address
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Duties
Name of Supervisor
Reason for leaving
May we contact?*
- Yes
- No
Employer 3
Name of Company
Phone
Address
From
Date Format: MM slash DD slash YYYY
To
Date Format: MM slash DD slash YYYY
Duties
Name of Supervisor
Reason for leaving
May we contact?*
- Yes
- No
List 3 references who are not relatives and the you have known for at least 2 years.
Name Street Address City, State, Zip Phone

Complete Mailing addresses are required.
Background Check Authorization
All prospective employees for Peachtree Centre will be subject to a criminal background check. You must prove that you have been a resident of South Carolina for the twelve (12) month period prior to your application date. If you cannot prove that you were a resident of South Carolina but can prove that you were a resident of another state for the twelve (12) months prior to your application date, then a background check will be conducted in the state in which you resided. Failure to be able to prove where you resided for the twelve (12) months prior to your application will result in a federal background check being conducted.
Name*
First Middle Last
Current Address*
Street Address Address Line 2 City State ZIP Code
Since
Date Format: MM slash DD slash YYYY
Previous Address 1
Street Address Address Line 2 City State ZIP Code
Previous Address 2
Street Address Address Line 2 City State ZIP Code
Social Security Number*
Date of Birth
Date Format: MM slash DD slash YYYY
Signature*
Date
Date Format: MM slash DD slash YYYY

NATURE OF CHARGE	DATE	WHERE CONVICTED	DISPOSITION

Date:	Position Applied For:	Race:	Sex:

Name	Street Address	City, State, Zip	Phone

QUESTIONNAIRE:

Employment History

Employer

Employer 2

Employer 3

Background Check Authorization