Team Leader Human Resources

Elliott Scott’s Employment Application

Application Date: 5/17/2025

Job Title: Team Leader -Public Works/ Water and Wastewater -Tyler, TX Job Location: Tyler

Personal Information

First Name: Elliott

Last Name: Scott

Email: ***************@*****.***

Contact Information

Mobile: 903-***-****

Alt. Phone: n/a

Country: US

Address: 618 W.28th St,n/a

City: Tyler

State: TX

Zip Code: 75702

Halff Associates, Inc. Application for Employment

We are an equal opportunity employment company, dedicated to a policy of non-discrimination in employment on any basis, including race, creed, color, age, sex, religion, national origin or physical handicap. Halff Associates, Inc. Application for Employment

Desired Salary: N/A

Have you worked for Halff Associates before? No

How did you hear about us? Indeed

Referred by: n/a

Employment Information

Current or Most Recent Employer

Employer Name: Distant Land Coffee

Base Pay: 14.00hr

Bonus: n/a

Reason for Leaving: Laid Off

Explanation: I was working for a temp service

2nd Previous Employer

Employer Name: Coca-Cola

Base Pay: 15.00hr

Bonus: n/a

Reason for Leaving: Laid Off

Explanation: Temp job

3rd Previous Employer

Employer Name: Havertys furniture company

Base Pay: 14.00hr

Bonus: n/a

Reason for Leaving: Laid Off

Explanation: Temp job

Acknowledgements / Authorizations

Please read carefully. If you have any questions regarding the statements, ask a Human Resources representative. 1. To the best of my knowledge and belief, the facts set forth in my application for employment are true and complete; I understand that if considered for employment, any false statement may result in my failure to receive an offer or if I am hired, my termination of employment. I hereby give Halff Associates and its authorized agents permission to verify and/or disclose any information given in connection with this application for personnel/employment purposes. I acknowledge that any misstatement or omission in the application materials may be cause for elimination from further consideration and termination if hired.

2. I agree that if I accept employment with Halff Associates or its entities, I will produce documents establishing my identity and work authorization as a condition of employment. 3. I further understand that this application is not intended to be a contract of employment, nor does this application obligate the employer in any way if the employer decides to employ me. 4. Based upon the position for which I am applying, I understand it may be necessary to investigate my driving record through the applicable Departments or Bureaus of Motor Vehicles. Therefore, I authorize Halff Associates to submit a request for my driver’s abstract record. I understand that Halff Associates or its entities, upon my written request, will disclose to me the nature and scope of any investigation, if this application is denied either wholly or partly because of information contained in the report.

5. I also understand that any offer of employment which may be made to me by Halff Associates or its entities is contingent upon my successfully passing a Drug Screening Test and Background Check. I hereby give my consent to conduct a drug test and background check performed by vendors selected by Halff Associates and its entities. I understand and agree that if the results of any pre-employment or post-employment Drug Screening Test or Background Check result in a positive drug report, or reveal past felony or misdemeanor convictions other than traffic violations, any employment offer or contingent job offer which may be or has been made to me may be null, void and unenforceable. 6. I hereby authorize any and all persons and agencies to furnish to Halff Associates any information, including documents in my personnel file, which may be necessary to verify statements contained in this application and any other materials submitted herewith.

7. I hereby waive any rights of privacy to the information or documents provided which I may have under federal, state, local law, ordinance or rule. I also understand that an incomplete application may delay or prevent employment opportunities with Halff Associates or its entities. 8. I hereby release Halff Associates or any agent acting on its behalf from any and all liability of whatever nature by reason of requesting such information from any person. This application and all supporting documents shall become the property of Halff Associates and will not be returned to you. I have read and agree to this disclaimer. Yes

Applicant Signature: Elliott Scott

Date: 2025-05-17

Privacy Policy Acknowledgement

By checking this box, you acknowledge and consent to terms of the privacy policy which applies to the applicant tracking service being offered by Paycor on behalf of Halff. The privacy policy offers an explanation of how and why your data will be collected, how it will be used and disclosed, how it will be retained and secured, and what legal rights are associated with that data (including the rights of access, correction, and deletion). The policy also describes legal and contractual limitations on these rights. The specific rights and obligations of individuals living and working in different areas may vary by jurisdiction.

Acceptance: I have read and agree to this statement

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