Employment Application - The Simon Companies

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Page

Name*

First Last

Middle Name

Address*

Street Address Address Line 2 City State ZIP Code

May we contact you here?*

Yes

Email*

Cellular Phone*

Home Phone

Business Phone

Position Applying For and Site Location:*

Date Available to Work*

Salary Expected*

PLEASE INITIAL: I understand that an offer of employment and my continued employment with The Simon Companies, LP are contingent upon satisfactory proof of my authorization to work in the United States*

If needed, will you be required to obtain a work permit in the United States?*

Yes

If you are a veteran of any branch of the U.S. Armed Forces, did you acquire skills that would be relevant for the position for which you are applying?*

Yes

If yes, please describe:*

Are you 18 years of age or older?*

Yes

Type of employment desired:*

Full-Time

Part-Time

Have you ever been employed by the Company?*

Yes

If yes, specify the dates*

How were you referred to the company?

Are you willing to travel?*

Yes

If yes, percentage of time?

Are you willing to relocate?*

Yes

Education

Institution Name and Location*

Type of Degree*

Graduated*

Yes

Major Field of Study*

List any special skills, experiences, training and/or other qualifications that could potentially enhance your ability to perform the position you are applying for (i.e., certifications, computer software knowledge, professional recognitions).

Employment History

Please list your complete full-time and part-time employment history, including self-employment. List the last position first and account for any lapse between employment periods. You may include any verifiable work performed on a volunteer basis. Please also include U.S. military service, temporary assignments, and cooperative education work. If you were self-employed, give your company/firm name. Include jobs held while attending school. You may also include any work performed on a volunteer basis. Please provide all relevant information requested in this section, even if you are providing a resume alongside this application. Exclude organization names which would indicate race, color, creed, religion, gender, sexual orientation, national origin, veteran status, disabilities, or other protected status.

Previous Employments

Company Name, Address and Phone Number

Date Employed Month/Year

Name, Title, and Phone Number of Immediate Supervisor

Job Title and Work Responsibilities

Reason for Leaving

All employers, including your current employer, may be contacted to verify the information you provide. May we contact your current employer prior to any offer of employment?*

Yes

References

Name and Occupation

Company and Address

Telephone Number

Years Known and Capacity

References

Please provide the names of individuals who can appraise your professional qualifications. Include, as appropriate, any supervisors (present and/or past), professional peers, etc. Business references are preferred. Please do not include any individuals related to you.

Additional Employment Inquiries

Are you currently subject to any non-competition, non-solicitation or other restrictive covenants with a former employer (other than a covenant requiring you not to release confidential information)?*

Is there anything else you feel the Company should know about you that would positively influence the Company to hire you?*

*IT IS UNLAWFUL IN MASSACHUSETTS TO REQUIRE OR ADMINISTER A LIE DETECTOR TEST AS A CONDITION OF EMPLOYMENT OR CONTINUED EMPLOYMENT. AN EMPLOYER WHO VIOLATES THIS LAW SHALL BE SUBJECT TO CRIMINAL PENALTIES AND CIVIL LIABILITY. THIS APPLICATION IS NOT COMPLETE UNTIL IT IS FULLY COMPLETED, SIGNED, AND ALL STATEMENTS BELOW HAVE BEEN READ AND INITIALED.

I certify that all of the information furnished on this application and during the application process is true, complete and correct to the best of my knowledge. I understand that any misrepresentation or omission of facts may result in refusal to hire or, if hired, may result in termination of my employment at any time regardless of when the false answer or omission is discovered.*

I hereby authorize the Company to conduct an investigation regarding my background as it relates to the position I am seeking and to the extent permitted by federal, state, and local law. I understand that if I do not complete the requisite authorization forms for the background investigation, I will not be eligible for employment by the Company.*

I agree to undergo drug testing consistent with federal and state law to the extent required for the position for which I am applying at the Company.*

I agree to undergo a motor vehicle record check consistent with federal and state law to the extent required for the position for which I am applying at the Company.*

My signature below certifies that I agree to be bound by the terms and conditions stated in this application, which contains all the understanding between the Company and me concerning the topics addressed herein, and supersedes any prior inconsistent understanding between the Company and me on such issues.

Applicant's Signature*

Date*

This application will only be considered for 30 days. If you have not been hired within 30 days of submitting this application and you wish to continue to be considered for employment, you must complete another application. Non-Discrimination Policy: The Simon Companies is committed to the principles of equal opportunity in employment. The Simon Companies does not discriminate on the basis of race, color, creed, national origin, ancestry, age, religion, sex, sexual orientation, gender identity or expression, physical or mental disability, military service or veteran status, genetic information, or any other status or characteristic protected by federal, state or local law.

Resume Upload*

Accepted file types: pdf, doc, docx, Max. file size: 2 GB.

Cover Letter Upload

Accepted file types: pdf, doc, docx, Max. file size: 2 GB.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.