Employment Application

Premier Island Management Group

is an Equal Opportunity Employer

Please answer all questions. Resumes are not accepted in lieu of completion of this application.

Only U.S. citizens or aliens who have legal right to work in the U.S. are eligible for employment. Eligibility should be met at the time of executing this application.
Do you meet this requirement?

Have you ever plead guilty or no contest to a crime, been convicted of a crime, had adjudication withheld, prosectution deferred or do you have any criminal charges pending? (Answering yes to this question does not automatically disqualify you from employment.)

Some of our positions require a high school diploma or the equivalent.
Do you meet this requirement?

Some of our positions require a valid driver's license that has been in effect for at least three years, with no more than two minor violations and no major violations within the past three years.
Do you meet this requirement?

Please select the age category that applies to you:

Are you currently employed?

Have you ever been dismissed or forced to resign from any employment?

Please indicate the employment status you are seeking:

How did you hear about Premier Island Management Group?

Do you have any scheduling restrictions?
List three skills that you feel set you apart from other candidates:

Employment History

List each job help. Start with your present or last job. Include military experience. If known by any other name, please indicate.


Education/Professional Development

Background Check Disclosure

Premier Island Management Group (the “Company”) may order a “consumer report” (a background report) or “investigative consumer report" on you in connection with your employment application, and if you are hired, or if you already work for the Company, may order additional background reports on you for employment purposes, to the maximum extent permitted by applicable law.

The background check company, ADP Screening and Selection Services, will prepare the background report for the Company. ADP Screening and Selection Services is located at 301 Remington Street, Fort Collins, CO, 80524, and can be reached by phone at 800- 367-5933 or at their Internet Web site address www.adpselect.com.

The background report may contain information concerning your character, general reputation, personal characteristics, mode of living, criminal history, and credit standing. An “investigative consumer report” is a background report that includes information from personal interviews. Information may be obtained from private and public sources and for investigative consumer reports from personal interviews as noted above. You may request more information about the nature and scope of an investigative consumer report, if any, by contacting the Company.

Prior to Premier Island Management Group, LLC implementation of any adverse employment action, you will be provided with a copy of the report. Furthermore, your rights under the Fair Credit Reporting Act, Section 609, will be made available to me on request.

Background Check Authorization

I authorize the Company to obtain my background report, including investigative consumer reports. I also agree that a copy of this form is valid like the signed original. I understand that, as allowed by law, the Company may rely on this authorization to order additional background reports, including investigative consumer reports, (1) during my employment and (2) from companies other than ADP Screening and Selection Services without asking me for my authorization again, as allowed by law. I understand the Company may order a background report under my legal name and any other names I may have used.

I also authorize the following agencies and entities to disclose to ADP Screening and Selection Services and its agents all information about or concerning me, as allowed by law, including but not limited to: my past or present employers; learning institutions, including colleges and universities; law enforcement and all other federal, state and local agencies; federal, state and local courts; the military; credit bureaus; testing facilities; motor vehicle records agencies; if applicable, worker’s compensation injuries; all other private and public sector repositories of information; and any other person, organization, or agency with any information about or concerning me. The information that can be disclosed to ADP Screening and Selection Services and its agents includes, but is not limited to, information concerning my employment history, earnings history, education, credit history, motor vehicle history, criminal history, military service, professional credentials and licenses and substance abuse testing.

The information requested below is collected solely for the purpose of aiding the Company in running a background check in connection with your application for employment. The employer is requesting that you provide this information to assist in conducting a thorough background check.

Please sign below to indicate that you have been made aware of this investigation and that further information has been offered you.

Consent And Signature

I understand and agree that, if hired, I will be required to undergo urinalysis screening for drug or alcohol use as part of our Drug Free Workplace pre-employment process. In addition, I will be given the Drug-free Workplace policy and asked to sign consent forms.

I certify that all indormation given on this employment application; any resume that I submit to the company; and any related papers and answers given during oral interviews are true and correct. I understand that Premier Island Management Group will make a thorough investigation of my work and personal history. I authorize such an investigation. I understand that falsification of any information given by others during the course of an investigation or any derogatory information discovered as a result of this investigation may subject me to immediate dismissal. I hereby release from liability all persons who provide information to my employer during the course of any such investigation.

At Premier Island Management Group, we respect your privacy. Any personal information you submit on you application will only be used to consider you for employment with divisions of Premier Island Management Group Corporation. Ask an HR Representative to see our Employee Privacy Policy.