maxxpmtx.appfolio.com
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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
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