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Employment Application

Fill out our online application or if you prefer to print out and mail, Click Here


Background Information:

Full Name:
Current Address:
How long at current address?
Previous Address:
How long at previous address?
Have you ever been known by another name?     No
If yes, what name?
Current Employer (company name):
Company Address:
Length of Employment:
Supervisor's Name:
Have you ever worked as a Real Estate Agent?
If yes, are you currently licensed?
If yes, which State?
Have you ever worked as a property manager?

Additional Questions:

What date would you be available?
Would you be able to perform the essential functions of a Account Manager?     No
If yes, can you meet clients in your home?
Have you ever been convicted of a crime?
If yes, please explain:


How did you hear about Empty Home Solutions LLC?
Mailing - Ad - Website - Friend - Other
Do you know of someone who may be interested in joining our team?     No
If yes, please give name and contact information::
Name: Phone:


Personal References

Name: Phone:
Name: Phone:

Bank References

Bank Name:
How long?

Business/Credit References

Account#/ Contact:
Account#/ Contact:
Account#/ Contact:

In case of an accident or emergency, whom should we notify?


Empty Home Solutions Notification and Agreement

Our obligation as service providers to Home Owners requires that we qualify or disqualify applicants based on various criteria. These criteria include, but may not be limited to, historical credit and criminal background information, as well as the accuracy or inaccuracy of submitted information may also be used to determine whether an applicant may or may not qualify as an Empty Home Solutions LLC Account Manager.. Whether approval is granted will be at the sole discretion of the staff of Empty Home Solutions LLC.

Empty Home Solutions LLC reserves the right to refuse an applicant for any reason it deems appropriate.

Additionally, if hired by Empty Home Solutions LLC, I understand that should any of the information provided herein change as to effect my performance as a Account Manager, at Empty Home Solution's LLC sole discretion, I may be removed from my position.

It is the policy of Empty Home Solutions LLC to provide equal opportunity to all applicants without regard to race, color, religion, sex, handicap, familial status, pregnancy, national origin, or any other characteristics protected by Federal, State, or Local law.

I , the undersigned applicant, do hereby certify that the information provided in this application is true, accurate, and to the best of my knowledge. All the information in this application is personal and confidential and will not be disclosed. By signing this application form, you authorize Empty Home Solutions LLC to investigate through a separate agency your employment, credit references, motor vehicle record, state and/or local criminal records and consumer credit records.
Attached is a separate authorization and release form for this purpose.

I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.

Applicant's Signature:



I hereby authorize Empty Home Solutions LLC to receive any criminal history and credit information pertaining to me which may be in the files of any state or local criminal justice agency or any other civil agencies for the purpose of obtaining verification.


Applicant Legal Name:

(Last Name) (Middle Name) (First Name)
Current Address:

(Street) (Suite or Apt. #) (City/State/Zip)
Sex:     M
Date of Birth:
Social Security No.::
- -
Driver's License No.:
State of Issue:

Online Application
Account Manager:
How it works

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