• PERSONAL INFORMATION 
    • Date of Birth (mm/dd/yy)*
       - -
    • GENERAL INFORMATION 
    • Are you legally eligible for work in the U.S.A.? (If yes, verification will be required)*
    • Do you have a valid Texas Driver's License with NO moving violations?*
    • As part of our hiring process a thorough background, credit and drug test may be completed. Are there any current or prior issues that may be present during this process?*
    • Have you ever received workers compensation, disability or other benefits for a work related injury?*
    • Are you able to complete physical labor including: bending, squatting and standing for long periods of time and lifting more than 50 lbs?*
    • Have you ever been convicted of a misdemeanor with in the past 3 years or felony (anytime)?*
    • EMPLOYMENT REQUEST 
    • If applicable, are you available for overtime?*
    • If applicable, are you available for travel?*
    • Earliest Date you can begin work?*
       - -
    • How did you hear about this position?*
    • EMPLOYMENT HISTORY 
    • *Please begin with most recent employment

    • May we contact your current employer?*
    • Employer #1

    • Format: (000) 000-0000.
    • Start Date:
       - -
    • End Date:
       - -
    • Do you have more Employers to add?
    • Employer #2 (if applicable)

    • Format: (000) 000-0000.
    • Start Date:
       - -
    • End Date:
       - -
    • Employer #3 (if applicable)

    • Format: (000) 000-0000.
    • Start Date:
       - -
    • End Date:
       - -
    • EDUCATION 
    • Select your Education Level*
    • Degree Obtained
       - -
    • Have more degrees to add?
    • Select your Education Level
    • Degree Obtained
       - -
    • Select your Education Level
    • Degree Obtained
       - -
    • MILITARY 
    • Military Service?
    • RECOMMENDATIONS 
    • Recommedations #1

    • Recommedations #2

    • Recommedations #3

    • SIGNATURE 
    • I certify that the facts set forth in this application are true, complete, and correct to the best of my knowledge. I understand that any misrepresentations, falsifications, or omissions on this application can be grounds for rejection of my application or, if I am employed by this company, for my immediate termination from employment. I authorize 1st Call Restoration, LLC to make any necessary inquiries and investigations into my education, military, or employment history. I further authorize, unless otherwise indicated on this application, the release of my information to 1st Call Restoration, LLC by any of the schools, services, or employers listed on this application.

    • Today's Date*
       - -
    • Should be Empty: