JOB APPLICATION

Housewright Construction, Inc 5365 Main Street S Newbury, VT 05051

P: 802-866-5520 F: 802-866-5461
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DESIRED EMPLOYMENT
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PHYSICAL RECORD
Do you have any physical disabilities that prevent you from performing the work for which you are applying? If so. describe:
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ADDITIONAL AREAS OF EXPERTISE
Areas of specialized study. research or additional experience:
List the foreign languages you speak fluently:
List the foreign languages you read fluently:
List the foreign languages you write fluently:
U. S. Military Service
Rank: Present membership in National Guard or Reserves:
Driver's License #
Driver's License State
Housewright Construction, Inc. is an equal opportunity employer. All employees of Housewright Construction, Inc. are not guaranteed permanent employment and all employees are considered "employees at will."
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Interviewer
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Referred to Housewright By:
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NAME/ADDRESS

DESIRED EMPLOYMENT

EDUCATION

EMPLOYMENT HISTORY

REFERENCES

PHYSICAL RECORD

ADDITIONAL AREAS OF EXPERTISE

FOR INTERNAL USE ONLY

Referred to Housewright By: