EMPLOYMENT APPLICATION Please request any needed accommodations in the application process. Please print clearly. Failure to completely answer each question may disqualify you from consideration. TIGER FINANCIAL MANAGEMENT IS AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED APPLICANTS WILL RECEIVE CONSIDERATION WITHOUT REGARD TO SEX, MARITAL STATUS, RACE, AGE, CREED, NATIONAL ORIGIN, GENDER, SEXUAL PREFERENCE OR DISABILITY. . DATE: ______________ LAST NAME: _____________________________ FIRST NAME: ___________________________ M.I. _________ SOCIAL SECURITY NUMBER: _______ - ____ - ________ PHONE NUMBER: (_______) ________ -_________ PRESENT ADDRESS: __________________________________________________________ From: _______ To: _________ Street Address City State ZIP PREVIOUS ADDRESS: __________________________________________________________ From: _______ To: _________ Street Address, City, State, and ZIP What position are you seeking? ____________________________________ Location _______________________ What skills do you have to perform this position? ____________________________________ Wage Expected: ____________ Are you available to work: Full Time ___ Part Time ___ Evenings____ Weekends____ Date available to start work _____________________ Do you have any relative(s) or personal acquaintance(s) in our employ? Yes ____ No ____ If YES, list name(s) and relationship: ___________________________________________________________________ Have you ever applied for work with this company before? Yes ____ No ____ If yes, when _______________________ Have you ever been employed by this company before? Yes ____ No ____ If YES, when and where were you employed? When: _________________________ Where: _________________________ Have you been convicted of a felony crime within the past 7 years? Yes ____ No ____ A conviction does not necessarily prevent an applicant from obtaining employment and will only be considered in relation to specific job requirements. If YES, explain: ___________________________________________________________________________ __________________________________________________________________________________________ If hired, can you provide proof of your eligibility to work in the United States? Yes ____ No ____ Education Name City/State High School College Other Please complete page 2 Graduated Degree? WORK EXPERIENCE Please account for all periods of time. Most recent employer Currently employed: Yes or No If yes, may we contact: Address: Name: From: To: Yes or No State: Zip: Job Title: Salary: Supervisor: Reason for leaving: Duties: Phone: 2nd most recent employer Name: Address: From: To: State: Zip: Job Title: Salary: Supervisor: Reason for leaving: Duties: Phone: 3rd most recent employer Name: From: Address: To: State: Zip: Job Title: Salary: Supervisor: Reason for leaving: Duties: Phone: References Include only individuals familiar with your work ability. Do not include relatives or supervisors listed above. Name Relationship Address Phone I certify that I understand that the information given in this application will be used to evaluate my qualifications for employment. I understand that this is not an employment contract, nor does it guarantee employment. I certify that the answers given by me to the foregoing questions and the statements made by me are true and complete to the best of my knowledge and belief. I understand that any false information, omissions or misrepresentations of facts called for in this application, whether on this document or not, may result in rejection of my application or discharge at any time of employment. I authorize the company and/or its agents, including consumer-reporting bureaus, to verify any of this information prior to, and at any time during employment. I authorize all former employers, persons, schools, companies and law enforcement authorities from any liability for damage whatsoever for issuing this information. I agree to indemnify and hold harmless Tiger Financial Management, Speedy Cash or Rapid Cash, its directors, officers, agents, and employees from and against any and all claims, demands or causes of action, and the reasonable and necessary costs, including attorney’s fees, which I have or may have resulting from such pre-employment investigation(s) or post employment references by the Company. I also understand that the use of illegal drugs is prohibited during employment. If company policy requires, I am willing to submit to a drug test to detect the use of illegal drugs prior to and during employment. I understand that employment is “at will” and that employment with Tiger Financial Management can be terminated at any time, with or without notice or cause. I also understand that no policy, practice or representative of the company can alter the at will relationship without written consent from an owner of the company. Name (please print) ______________________________________________________ Signature ______________________________________________________ Date ____________________________