maxxpmtx.appfolio.com Open in urlscan Pro
3.21.145.73  Public Scan

Submitted URL: https://sg.appfolio.com/ls/click?upn=u001.Tpt5xEz1Nz02wH6ZQl9QgUFRRES69iGsb7J-2BmFwUY8PK4sgDhJqyJIZ8CRugfe6lO0vSg4SCIskA...
Effective URL: https://maxxpmtx.appfolio.com/screenings/employment_verification?token=eyJhbGciOiJIUzI1NiJ9.eyJ1dWlkIjoiMzJkMDE3MzAtZTU0Yy0xMW...
Submission: On March 20 via api from US — Scanned from DE

Form analysis 1 forms found in the DOM

<form class="">
  <div class="form-group row mb-3"><label for="employee-name-field" class="text-sm-end pe-0 col-sm-4 col-form-label">Employee Name</label>
    <div class="col-12 col-sm-8"><input id="employee-name-field" type="text" class="form-control" value="Aliyah Montano"></div>
  </div>
  <div class="form-group row mb-3"><label for="employee-position-field" class="text-sm-end pe-0 col-sm-4 col-form-label">Employee Position</label>
    <div class="col-12 col-sm-8"><input id="employee-position-field" type="text" class="form-control" value="Store Manager"></div>
  </div>
  <div class="form-group row mb-3"><label class="text-sm-end pe-0 col-sm-4 col-form-label">Currently Employed</label>
    <div class="col-12 col-sm-8">
      <div id="currently-employed-fields"><label class="col-12 col-sm-auto col-form-label"><input type="radio" class="form-check-input" value="Yes"> Yes</label><label class="col-12 col-sm-auto col-form-label"><input type="radio"
            class="form-check-input" value="No"> No</label></div>
    </div>
  </div>
  <div class="form-group row mb-3"><label for="date-of-hire-field" class="text-sm-end pe-0 col-sm-4 col-form-label">Date of Hire</label>
    <div class="col-12 col-sm-8">
      <div>
        <div class="dropdown">
          <div disabled="" aria-haspopup="true" class="" aria-expanded="false">
            <div class="input-group"><input id="date-of-hire-field" class="form-control" data-testid="react-gears-dateinput-inputgroup-input" type="text" placeholder="MM/DD/YYYY"><button type="button"
                data-testid="react-gears-dateinput-inputgroup-button" tabindex="-1" aria-disabled="false" class="px-2 btn btn-secondary"><i aria-hidden="true" class="fa-regular fa-calendar fa-fw"></i><span class="visually-hidden">Open
                  Calendar</span></button></div>
          </div>
          <div tabindex="-1" role="menu" aria-hidden="true" class="p-0 dropdown-menu">
            <header class="d-flex py-2">
              <div role="group" class="btn-group-sm btn-group"><button type="button" data-testid="react-gears-dateinput-dropdownmenu-button-prev-year" aria-disabled="false"
                  class="js-prev-year btn btn-link"><i aria-hidden="true" class="fa-solid fa-angle-double-left fa-fw"></i><span class="visually-hidden">Previous Year</span></button><button type="button"
                  data-testid="react-gears-dateinput-dropdownmenu-button-prev-month" aria-disabled="false" class="js-prev-month btn btn-link"><i aria-hidden="true" class="fa-solid fa-angle-left fa-fw"></i><span class="visually-hidden">Previous
                    Month</span></button></div><span class="js-date-header m-auto">March 2024</span>
              <div role="group" class="btn-group-sm btn-group"><button type="button" data-testid="react-gears-dateinput-dropdownmenu-button-next-month" aria-disabled="false"
                  class="js-next-month btn btn-link"><i aria-hidden="true" class="fa-solid fa-angle-right fa-fw"></i><span class="visually-hidden">Next Month</span></button><button type="button"
                  data-testid="react-gears-dateinput-dropdownmenu-button-next-year" aria-disabled="false" class="js-next-year btn btn-link"><i aria-hidden="true" class="fa-solid fa-angle-double-right fa-fw"></i><span class="visually-hidden">Next
                    Year</span></button></div>
            </header>
            <div class="table-responsive">
              <table data-testid="react-gears-dateinput-dropdownmenu-calendar" class="m-0 table table-sm" style="min-width: 19rem;">
                <colgroup>
                  <col style="width: 14.29%;">
                  <col style="width: 14.29%;">
                  <col style="width: 14.29%;">
                  <col style="width: 14.29%;">
                  <col style="width: 14.29%;">
                  <col style="width: 14.29%;">
                  <col style="width: 14.29%;">
                </colgroup>
                <thead>
                  <tr class="js-calendar-weekdays">
                    <th class="text-center">Su</th>
                    <th class="text-center">Mo</th>
                    <th class="text-center">Tu</th>
                    <th class="text-center">We</th>
                    <th class="text-center">Th</th>
                    <th class="text-center">Fr</th>
                    <th class="text-center">Sa</th>
                  </tr>
                </thead>
                <tbody>
                  <tr>
                    <td role="button" data-testid="day-Sun Feb 25 2024" class="jsx-2353834249 text-center bg-light text-muted">25</td>
                    <td role="button" data-testid="day-Mon Feb 26 2024" class="jsx-2353834249 text-center bg-light text-muted">26</td>
                    <td role="button" data-testid="day-Tue Feb 27 2024" class="jsx-2353834249 text-center bg-light text-muted">27</td>
                    <td role="button" data-testid="day-Wed Feb 28 2024" class="jsx-2353834249 text-center bg-light text-muted">28</td>
                    <td role="button" data-testid="day-Thu Feb 29 2024" class="jsx-2353834249 text-center bg-light text-muted">29</td>
                    <td role="button" data-testid="day-Fri Mar 01 2024" class="jsx-2353834249 text-center">1</td>
                    <td role="button" data-testid="day-Sat Mar 02 2024" class="jsx-2353834249 text-center">2</td>
                  </tr>
                  <tr>
                    <td role="button" data-testid="day-Sun Mar 03 2024" class="jsx-2353834249 text-center">3</td>
                    <td role="button" data-testid="day-Mon Mar 04 2024" class="jsx-2353834249 text-center">4</td>
                    <td role="button" data-testid="day-Tue Mar 05 2024" class="jsx-2353834249 text-center">5</td>
                    <td role="button" data-testid="day-Wed Mar 06 2024" class="jsx-2353834249 text-center">6</td>
                    <td role="button" data-testid="day-Thu Mar 07 2024" class="jsx-2353834249 text-center">7</td>
                    <td role="button" data-testid="day-Fri Mar 08 2024" class="jsx-2353834249 text-center">8</td>
                    <td role="button" data-testid="day-Sat Mar 09 2024" class="jsx-2353834249 text-center">9</td>
                  </tr>
                  <tr>
                    <td role="button" data-testid="day-Sun Mar 10 2024" class="jsx-2353834249 text-center">10</td>
                    <td role="button" data-testid="day-Mon Mar 11 2024" class="jsx-2353834249 text-center">11</td>
                    <td role="button" data-testid="day-Tue Mar 12 2024" class="jsx-2353834249 text-center">12</td>
                    <td role="button" data-testid="day-Wed Mar 13 2024" class="jsx-2353834249 text-center">13</td>
                    <td role="button" data-testid="day-Thu Mar 14 2024" class="jsx-2353834249 text-center">14</td>
                    <td role="button" data-testid="day-Fri Mar 15 2024" class="jsx-2353834249 text-center">15</td>
                    <td role="button" data-testid="day-Sat Mar 16 2024" class="jsx-2353834249 text-center">16</td>
                  </tr>
                  <tr>
                    <td role="button" data-testid="day-Sun Mar 17 2024" class="jsx-2353834249 text-center">17</td>
                    <td role="button" data-testid="day-Mon Mar 18 2024" class="jsx-2353834249 text-center">18</td>
                    <td role="button" data-testid="day-Tue Mar 19 2024" class="jsx-2353834249 text-center">19</td>
                    <td role="button" data-testid="day-Wed Mar 20 2024" class="jsx-2353834249 text-center bg-primary text-white">20</td>
                    <td role="button" data-testid="day-Thu Mar 21 2024" class="jsx-2353834249 text-center">21</td>
                    <td role="button" data-testid="day-Fri Mar 22 2024" class="jsx-2353834249 text-center">22</td>
                    <td role="button" data-testid="day-Sat Mar 23 2024" class="jsx-2353834249 text-center">23</td>
                  </tr>
                  <tr>
                    <td role="button" data-testid="day-Sun Mar 24 2024" class="jsx-2353834249 text-center">24</td>
                    <td role="button" data-testid="day-Mon Mar 25 2024" class="jsx-2353834249 text-center">25</td>
                    <td role="button" data-testid="day-Tue Mar 26 2024" class="jsx-2353834249 text-center">26</td>
                    <td role="button" data-testid="day-Wed Mar 27 2024" class="jsx-2353834249 text-center">27</td>
                    <td role="button" data-testid="day-Thu Mar 28 2024" class="jsx-2353834249 text-center">28</td>
                    <td role="button" data-testid="day-Fri Mar 29 2024" class="jsx-2353834249 text-center">29</td>
                    <td role="button" data-testid="day-Sat Mar 30 2024" class="jsx-2353834249 text-center">30</td>
                  </tr>
                  <tr>
                    <td role="button" data-testid="day-Sun Mar 31 2024" class="jsx-2353834249 text-center">31</td>
                    <td role="button" data-testid="day-Mon Apr 01 2024" class="jsx-2353834249 text-center bg-light text-muted">1</td>
                    <td role="button" data-testid="day-Tue Apr 02 2024" class="jsx-2353834249 text-center bg-light text-muted">2</td>
                    <td role="button" data-testid="day-Wed Apr 03 2024" class="jsx-2353834249 text-center bg-light text-muted">3</td>
                    <td role="button" data-testid="day-Thu Apr 04 2024" class="jsx-2353834249 text-center bg-light text-muted">4</td>
                    <td role="button" data-testid="day-Fri Apr 05 2024" class="jsx-2353834249 text-center bg-light text-muted">5</td>
                    <td role="button" data-testid="day-Sat Apr 06 2024" class="jsx-2353834249 text-center bg-light text-muted">6</td>
                  </tr>
                </tbody>
              </table>
            </div>
            <footer class="text-center pb-2 pt-1">
              <div><button type="button" data-testid="react-gears-dateinput-footer-button-today" aria-disabled="false" class="me-2 btn btn-secondary" aria-label="Today">Today</button><button type="button"
                  data-testid="react-gears-dateinput-footer-button-clear" aria-disabled="false" class="me-2 btn btn-secondary" aria-label="Clear">Clear</button></div>
            </footer>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="form-group row mb-3"><label class="text-sm-end pe-0 col-sm-4 col-form-label">Length of Employment</label>
    <div class="col-12 col-sm-8">
      <div class="row">
        <div class="col-4 col">
          <div class="Select is-searchable Select--single">
            <div class="Select-control"><span class="Select-multi-value-wrapper" id="react-select-2--value">
                <div class="Select-placeholder"></div>
                <div class="Select-input" style="display: inline-block;"><input id="length-of-employment-years-selector" aria-activedescendant="react-select-2--value" aria-expanded="false" aria-haspopup="false" aria-owns="" role="combobox" value=""
                    style="box-sizing: content-box; width: 5px;">
                  <div
                    style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 14px; font-family: Inter, sans-serif; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
                  </div>
                </div>
              </span><span class="Select-arrow-zone"><i aria-hidden="true" class="fa-solid fa-caret-down"></i></span></div>
          </div>
        </div>
        <div class="d-flex align-items-end col">years</div>
        <div class="col-4 col">
          <div class="Select is-searchable Select--single">
            <div class="Select-control"><span class="Select-multi-value-wrapper" id="react-select-3--value">
                <div class="Select-placeholder"></div>
                <div class="Select-input" style="display: inline-block;"><input id="length-of-employment-months-selector" aria-activedescendant="react-select-3--value" aria-expanded="false" aria-haspopup="false" aria-owns="" role="combobox" value=""
                    style="box-sizing: content-box; width: 5px;">
                  <div
                    style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 14px; font-family: Inter, sans-serif; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
                  </div>
                </div>
              </span><span class="Select-arrow-zone"><i aria-hidden="true" class="fa-solid fa-caret-down"></i></span></div>
          </div>
        </div>
        <div class="d-flex align-items-end col">months</div>
      </div>
    </div>
  </div>
  <div class="form-group row mb-3"><label class="text-sm-end pe-0 col-sm-4 col-form-label">Employment Type</label>
    <div class="col-12 col-sm-8">
      <div id="employment-type-fields"><label class="col-12 col-sm-auto col-form-label"><input type="radio" class="form-check-input" value="Full-Time"> Full-Time</label><label class="col-12 col-sm-auto col-form-label"><input type="radio"
            class="form-check-input" value="Part-Time"> Part-Time</label><label class="col-12 col-sm-auto col-form-label"><input type="radio" class="form-check-input" value="Seasonal"> Seasonal</label></div>
    </div>
  </div>
  <div class="form-group row mb-3"><label class="text-sm-end pe-0 col-sm-4 col-form-label">Pay Rate</label>
    <div class="col-12 col-sm-8">
      <div class="row">
        <div class="col">
          <div class="input-group"><span class="input-group-text" style="height: 2.4em;">$</span><input id="payrate-field" type="number" class="form-control" value="" style="height: 2.4em;"></div>
        </div>
        <div class="col">
          <div class="Select is-searchable Select--single">
            <div class="Select-control"><span class="Select-multi-value-wrapper" id="react-select-4--value">
                <div class="Select-placeholder">Select...</div>
                <div class="Select-input" style="display: inline-block;"><input id="payrate-period" aria-activedescendant="react-select-4--value" aria-expanded="false" aria-haspopup="false" aria-owns="" role="combobox" value=""
                    style="box-sizing: content-box; width: 5px;">
                  <div
                    style="position: absolute; top: 0px; left: 0px; visibility: hidden; height: 0px; overflow: scroll; white-space: pre; font-size: 14px; font-family: Inter, sans-serif; font-weight: 400; font-style: normal; letter-spacing: normal; text-transform: none;">
                  </div>
                </div>
              </span><span class="Select-arrow-zone"><i aria-hidden="true" class="fa-solid fa-caret-down"></i></span></div>
          </div>
        </div>
      </div>
    </div>
  </div>
  <div class="form-group row mb-3"><label for="avg-hours-field" class="text-sm-end pe-0 col-sm-4 col-form-label">Average Hours Per Week</label>
    <div class="col-12 col-sm-8"><input id="avg-hours-field" type="number" class="form-control" value=""></div>
  </div>
</form>

Text Content

EMPLOYMENT VERIFICATION REQUEST



MAXXPM-TX, LLC

15715 TUCKERTON RD

(346) 250-8608


 1. 1
    Employee Information
 2. 2
    Employer Information
 3. 3
    Confirmation

Employee Information
Employee Information

Aliyah Montano has indicated that you are a current or previous employer.

Signed consent from employee

--------------------------------------------------------------------------------

Please complete and/or confirm the following information for Aliyah Montano:
Employee Name

Employee Position

Currently Employed
Yes No
Date of Hire
Open Calendar
Previous YearPrevious Month
March 2024
Next MonthNext Year

SuMoTuWeThFrSa252627282912345678910111213141516171819202122232425262728293031123456

TodayClear
Length of Employment
years

months
Employment Type
Full-Time Part-Time Seasonal
Pay Rate
$
Select...

Average Hours Per Week


ConfirmDecline