Employment Application Form

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

How did you hear about this job?

If necessary, best time to call you is

May we contact you at work?

YesNo

If yes, work number and time to call

Are you over 18? If not you will need to provide a work permit

YesNo

Have you ever filled out an application or worked here before?

YesNo

If yes to either, specify and give dates.

Are you legally eligible for employment in this country? (Proof of US Citizenship or immigration status will be required upon employment).

YesNo

Type of employment desired

Full TimePart-TimeTemporarySeasonal

Are you able to meet the attendance requirements of the position?

YesNo

Are you able to work overtime if required?

YesNo

Are you able to read a tape measure?

YesNo

Do you have any construction skills? Please list below.

Driver's License number (If job related) & Issuing state.

Upload Your Resume

Previous Experience. Please list employer/Supervisor/Phone Number and reason for leaving.

May we contact any of your previous employers? If so, which?

Why are you interested in working with our company?

Expected Salary

Availability to Start

Date

Have you ever been bonded?

YesNo

Have you ever been convicted of a felony in the last 7 years?

YesNo

If yes, please explain

Educational Background

Business Work References: Name/phone number/years known

It is understood and agreed upon that any misrepresentation by me on this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed. I give the employer the right to investigate all references and to secure additional information about me, if job-related. I hereby release from liability the employer and it's representatives for seeking such information and all other persons, corporations or organizations for furnishing such information.

The employer is an Equal Opportunity Employer. The employer does not discriminate in employment and no questions on this application is used for the purpose of limiting or excusing any applicant's consideration for employment on a basis prohibited by local, state or federal law.

This application is current for only 60 days. At the conclusion of this time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to fill out a new application.

I understand that just as I am free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause, and without prior notice. I understand that no representative of the employer has the authority to make any assurances to the contrary.

I understand it is this company's policy not to refuse to hire a qualified individual with a disabilty because of this person's need for and accommodation that would be required by the ADA.

Signature

Date