Please complete the form below. Mandatory fields marked *

Personal

List any friends or relatives working for us.

Note: A conviction will not necessarily be a bar to employment; each instance and explanation will be considered in relation to the position for which you are applying.

Education
Previous Employment

Pay

If Paid Commission / and or Bonus

Company #2

Pay:

If Paid Commission / and or Bonus:

References

Second Reference

Third Reference

Language Skills
Skills and Qualifications

I hereby authorize the company to investigate my references and to make an independent investigation of my character, conduct,
and employment records, and to keep and reserve records of such investigations. I agree that failure to reveal any prior
employers, or giving of any false or misleading information by me will be grounds for termination of my employment. If
employment is obtained under this application, I will comply with all rules and regulations of this company.

I understand that this employment application is not a contract and that it contains no representation of future or continued
employment. Should American Homestar Corporation hire me, I understand that my employment may be terminated at any time,
with or without cause, with or without notice, at the option of either the Company or myself. I understand that this application is
active for 30 days. I understand that no manager or representative of the Company, other than an Officer of the Company, has
any authority to enter into any agreement for employment for any specified period of time, or make any agreement contrary to
foregoing.

Since my employment may require entering customer homes, I hereby authorize American Homestar Corporation to run a
background check through the Texas Department of Public Safety or any other authorized screening company the Company
should choose.

I hereby give my permission to American Homestar Corporation and the laboratory it has selected to conduct urine tests
required for drug screening as a condition of employment. I acknowledge that if American Homestar Corporation offers
me employment, the offer is contingent upon my passing a test for the presence of illegal drugs. Furthermore, I
understand that at any time during employment with American Homestar Corporation, I may be asked to take another
drug test. Under State Law an employer may not require or demand any applicant for employment or prospective employment or any
employee to submit to or take polygraph, lie detector or similar test or examination as a condition of employment. Any employer
who violates this provision is guilty of misdemeanor and subject to a fine not to exceed $100.00.