EMPLOYMENT APPLICATION (An Equal Opportunity Employer) (Incomplete applications will not be considered. Please fill out as completely as possible.)   (*) Denotes Mandatory Fields   PERSONAL   Date *First Name : M.I: *Last Name :     *Address: Apt./Unit#   *City: *State: *Zip:     *Home Telephone # Mobile Telephone #       *Email:           Position Desired: Desired Pay Range:       Available Start Date: How did you hear about this job?       Are you currently employed? If so, may we contact your current employer?   AVAILABILITY (If available anytime write ANY)   Sun. Mon. Tues. Wed. Thur. Fri. Sat. From: To:   EDUCATION School Name and Location of school Course of Study No. of years Completed Did you Graduate Degree or Diploma College Yes  No Business/Trade Technical Yes  No High School Yes  No

EMPLOYMENT APPLICATION (An Equal Opportunity Employer) (Incomplete applications will not be considered. Please fill out as completely as possible.)   EMPLOYMENT HISTORY (Beginning with most recent)   Employer: Employer's Phone #:       Address: City,State:       Zip: Job Title:       Employed from: To:       Starting salary: Ending salary:       Supervisor's Name Supervisor's title       May we contact this employer? Job Duties:       Reason for leaving:       Employer: Employer's Phone #:       Address: City,State:       Zip: Job Title:       Employed from: To:       Starting salary: Ending salary:       Supervisor's Name Supervisor's title       May we contact this employer? Job Duties:       Reason for leaving:       Employer: Employer's Phone #:       Address: City,State:       Zip: Job Title:       Employed from: To:       Starting salary: Ending salary:       Supervisor's Name Supervisor's title       May we contact this employer? Job Duties:       Reason for leaving:       Employer: Employer's Phone #:       Address: City,State:       Zip: Job Title:       Employed from: To:       Starting salary: Ending salary:       Supervisor's Name Supervisor's title       May we contact this employer? Job Duties:       Reason for leaving:

EMPLOYMENT APPLICATION (An Equal Opportunity Employer) (Incomplete applications will not be considered. Please fill out as completely as possible.)     REFERENCES (Please do not include family members or relatives) Name Current Position and Company Phone Number   Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment) Yes  No   Are you over the age of 18 years? (If no, you may be required to provide authorization to work) Yes   No   Have you ever worked for Essex before? Yes   No   Do you have any relatives or friends who work for Essex (If yes, who and where do they work?) Yes   No   Would you be willing to relocate? Yes   No   Have you ever been convicted of a felony or misdemeanor? (If yes, please explain) Yes   No   Attach Resume:  (Please Upload PDF or DOC or Docx file)   I certify that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background and credit history check. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date.   I authorize the investigation of any and all statements contained in this application and also authorize any person, school, current employer, past employer and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.   I have read, understand and agree to the above statements.   Signature: Date: