Maintenance Repair Worker Supplemental Questionnaire
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email
example@example.com
This position requires employees to work a rotating on-call schedule (approximately 3-4 times a year one week each time) and be available for on-call snow removal outside of regularly scheduled hours. Are you able to fulfill this requirement?
Yes
No
Do you have a valid driver’s license?
Yes
No
Describe any experience/training in the following areas and what company you performed this work for. Please include formal education, training programs, apprenticeships, employment, self-employment. CARPENTRY
Describe any experience/training in the following areas and what company you performed this work for. Please include formal education, training programs, apprenticeships, employment, self-employment. PAINTING/DRYWALL
Describe any experience/training in the following areas and what company you performed this work for. Please include formal education, training programs, apprenticeships, employment, self-employment. TILE/GROUT WORK
Describe any experience/training in the following areas and what company you performed this work for. Please include formal education, training programs, apprenticeships, employment, self-employment. MASONRY
Describe any experience/training in the following areas and what company you performed this work for. Please include formal education, training programs, apprenticeships, employment, self-employment. PLUMBING
Describe any experience/training in the following areas and what company you performed this work for. Please include formal education, training programs, apprenticeships, employment, self-employment. ELECTRICAL
Describe any experience/training in the following areas and what company you performed this work for. Please include formal education, training programs, apprenticeships, employment, self-employment. HVAC
Describe any experience/training in the following areas and what company you performed this work for. Please include formal education, training programs, apprenticeships, employment, self-employment. WATER HEATERS
Please list other experience/training/skills that you possess which you feel are applicable to the position for which you are applying:
The Lincoln Housing Authority serves a variety of clients, including the elderly, low-income, persons with disabilities, individuals and persons from a variety of ethnic/cultural backgrounds. Describe your experience working with persons of the above mentioned populations.
Submit
Should be Empty: