Storage Unit Online Application

We appreciate your interest in Alpine Self Storage. Please complete the application below. The information you provide will assist us in evaluating your qualifications for possible employment.

You may accompany this application with your resume by sending it to:

JOB APPLICATION FORM

POSITION APPLIED FOR:
HOW DID YOU FIND US?
SPECIFY IF OTHER:

LOCATION DESIRED (SELECT ALL THAT APPLY)

Utah		Texas
Brigham		Abilene
Roy
Salt Lake - (North)		Louisiana
Salt Lake - (Central)		Shreveport
American Fork - Inn Towne
American Fork - South		Florida
Orem		Boynton
Provo		Haverhill
Lehi		LakeWorth

Ohio
Trotwood

PERSONAL PARTICULARS (For person seeking position)

Example: If "Spouse-A" will be providing primary outside income, and "Spouse-B" is seeking management position, then "Spouse-B" is to fill out application.

1.	Title :
2.	Full Name :
3.	Marital Status :
4.	Identification Type : Identification #:
5.	Date of Birth : // (MM/DD/YYYY)
6.	Sex :
7.	E-mail Address:
8.	Street Address :
	Suite or Apartment: #
	City:	State
	Zip Code :	Country :
9.	Phone (Home): Phone (Cell): Phone (Office): Pager #:

EDUCATIONAL QUALIFICATIONS

	Name of School/College/University Attended	From (Year)	To (Year)
1.
2.
3.
4.
5.

PREVIOUS & PRESENT EMPLOYMENT IN CHRONOLOGICAL ORDER

Start with your most recent employment. Include any job-related activities.

Are you currently with this employer? Yes No
Employer	Dates Employed
	From	To
Address (City, State, Zip)
Job Title
Salary Hourly Monthly Annually
Supervisor
Reason for Leaving
Work Performed:
May we Contact? Telephone Number(s)
Please indicate those individuals you do *NOT* want us to contact at your present employer.

Employer	Dates Employed
	From	To
Address (City, State, Zip)
Starting/Present Job Title
Salary Hourly Monthly Annually
Supervisor
Reason for Leaving
Work Performed:
May we Contact? Telephone Number(s)

Employer	Dates Employed
	From	To
Address (City, State, Zip)
Starting/Present Job Title
Salary Hourly Monthly Annually
Supervisor
Reason for Leaving
Work Performed:
May we Contact? Telephone Number(s)

Have you been discharged from any employment or asked to resign?

If yes, explain:

Comments (Explain any gaps in employment):

LIST ALL PERSONS TO RESIDE IN THE APARTMENT PROVIDED

	Spouses' Full Name
1.		Age
2.	Employment Status
3.	Employer :
4.	For how long?
Children (If applicable)
1.		Age
2.		Age
3.		Age
4.		Age
5.		Age
Any Others (Anyone else who would be living in provided apartment)
List any/all others here:

DECLARATION

1.	Do you consent to be screened for criminal and other convictions?
2.	Have you ever been convicted in a court of law in any country? Note: Conviction will not necessarily disqualify an applicant from employment.
3.	Have you been charged with any offence in a court of law in any country for which the outcome is not yet known?
4.	Have you ever left an employer without giving adequate notification?
5.	Have you been in the employment of Alpine Storage before?
6.	Which Location? Why did you leave? If other :
7.	If "YES" to Questions 2, 3 or 4 above, please give details below :

Applicant: Please Read The Statement Below Carefully Before Signing

I certify that the information contained in this application (and accompanying resume, if any) is true, correct and complete to the best of my knowledge. I also agree that any falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for termination if discovered at a later date.

I authorize a thorough investigation of my past employment, education and activities, agree to cooperate in such investigation, and release from all liability or responsibility all persons and/or entities requesting or supplying information from any damages that may result. I authorize Alpine Storage to request and receive such information.

I understand that employment with Alpine Storage is at-will, which means that I may terminate the employment relationship at any time and for any reason with or without notice, and that Alpine Storage has the same right. I understand that no one may alter the at-will nature of my employment except the President/CEO, or designee, and then only in a written and notarized agreement. I understand that if I am employed, I will conform to the rules and regulations of Alpine Storage.

I acknowledge that these rules and regulations may be changed, interpreted, withdrawn, or added to by Alpine Storage at any time at the company's sole option and without any prior notice to me.

Keying your name below on the signature line is equivalent to signing your name to this document and therefore conveys your acknowledgement and authorization of the above statements.

Type your Full Name (First, Middle, Last)