Employment Application Form

Application for Employment

Personal Information:

Name:*

First NameLast Name

Phone Number:*

Area CodePhone Number

E-mail Address:

Address:*

Street Address

Street Address Line 2

CityState

Zip Code

Over 18 years old?*

YesNo

Education

High School (Select Highest Year Complete)

9101112

College (Select Highest Year Complete)

1234

Other Training, Certifications or Licenses Held:

Past Employers (REQUIRED: List last four employers, without skipping any, starting with the latest one first):

Employer 1

Name:*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Area CodePhone Number

Dates of Employment*

Start date - end date

Reason for Leaving*

May we contact them?*

YesNoLater

Employer 2

Name:*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Area CodePhone Number

Dates of Employment*

Start date - end date

Reason for Leaving*

May we contact them?*

YesNoLater

Employer 3

Name:*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Area CodePhone Number

Dates of Employment*

Start date - end date

Reason for Leaving*

May we contact them?*

YesNoLater

Employer 4

Name:*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Area CodePhone Number

Dates of Employment*

Start date - end date

Reason for Leaving*

May we contact them?*

YesNoLater

Professional References List at least one. Ex: Pastor, Teacher, Mentor

Reference 1

Name:*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Area CodePhone Number

Reference 2

Name:

First NameLast Name

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState

Zip Code

What type of employment are you seeking?*

Full TimeFull Time Temporary (i.e. summer job)

This job requires out-of-town travel and work. Does that present any challenges for you?*

Yes or No (Explain)

You may be asked to travel out of town or work overtime on short notice. Would this be a problem for you?*

Yes or No (Explain)

A typical work day begins around 6 AM. Would this be a problem for you?*

Yes or No (Explain)

All crew members take turns driving company trucks to and from jobs. Would this be a problem for you?*

Yes or No (Explain)

What construction experience do you have?*

Yes or No (Explain)

Which types of power tools are you experienced at operating? (ex: partner saw, circular saw, etc...)*

Yes or No (Explain)

Which types of heavy equipment are you experienced at operating? (ex: fork-lift, man-lift, etc...)*

Yes or No (Explain)

Are you willing to learn how to operate equipment and machinery you are inexperienced with?*

Yes or No (Explain)

The ability to lift heavy objects is required for this job. Would this be a problem for you?*

Yes or No (Explain)

The ability to make regular trips up and down ladders is required for this job. Would this be a problem for you?*

Yes or No (Explain)

Drug screening is required for hire. Are you willing to do a drug screening?*

Yes or No (Explain)

If you are hired, you may be subjected to random drug screening. Is this a problem for you?*

Yes or No (Explain)

A functional fitness test is required for hire. Would this be a problem for you?*

Yes or No (Explain)

When would you be able to start working?*

Date

Skills

What measurement is the arrow pointing to in thee picture above?*

Identify the following tools:

Additional Information: (optional) Please use this space to tell us anything more about yourself that you would like us to consider when going through the hiring process.

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature*

Date