Job Application
Please complete the form below to apply for a position with us.
Personal Data
Full Name
*
First Name
Middle Name
Last Name
Current Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birth Date
*
Please select a month
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Day
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Year
Home Phone Number
*
Cell Phone Number
Email Address
*
example@example.com
Date you can start work
*
/
Month
/
Day
Year
Date
Salary Desired
*
Do you have a High School Diploma or GED?
*
Yes
No
Position Information
Check all that you are willing to work
Hours
*
Part-Time
Full-Time
*
Days
Evenings
Swing
Graveyard
Weekends
Status:
*
Regular
Temporary
Are you authorized to work in the US on an unrestricted basis?
*
Yes
No
Have you ever been convicted of a felony? (Convictions will not necessarily disqualify an applicant for employment.)
*
Yes
No
If yes, please explain:
Have you been told the essential functions of the job or have you viewed a copy of the job description listing the essential functions of the job?
*
Yes
No
Can you perform these essential functions of the job with or without reasonable accommodation?
*
Yes
No
Qualifications
Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.
*
School Name
Degree
Address/City/State
School
School
Other
Special Skills
List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc.)
*
References
Please list three professional references not related to you, with full name, address, phone number, and relationship. If you don’t have threeprofessional references, then list personal, unrelated references
*
Name
Address/City/State
Phone
Relationship
Ref #1
Ref #2
Ref #3
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Work History
Start with your present or most recent employment and work back. (INCLUDE PAID AND UNPAID POSITIONS)
Job Title #1
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
Company Name
*
Supervisor's Name
*
Phone Number
*
Please enter a valid phone number.
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Duties:
*
Reason for Leaving:
*
Starting Salary
*
Ending Salary
*
May we contact your present employer?
*
Yes
No
N/A
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Job Title #2
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
Company Name
*
Supervisor's Name
*
Phone Number
*
Please enter a valid phone number.
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Duties:
*
Reason for Leaving:
*
Starting Salary
*
Ending Salary
*
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Job Title #3
Start Date
*
-
Month
-
Day
Year
Date
End Date
*
-
Month
-
Day
Year
Date
Company Name
*
Supervisor's Name
*
Phone Number
*
Please enter a valid phone number.
City
*
State
*
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip
*
Duties:
*
Reason for Leaving:
*
Starting Salary
*
Ending Salary
*
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Position Applied
*
Please Select
construction laborer
carpenter
painter
remodeling
How did you hear about us
*
Please Select
LinkedIn
Event
Social Media
Company Website
Home Depot
Family / Friend
Other
If you chose Other, please specify.
LinkedIn
Upload Your Resume
*
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Cover Letter
I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
*
Date
*
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Month
-
Day
Year
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