Advanced Glazing Contractors, Inc. - Employment Application

Background Questions

Rows	YES	NO	Explain if Necessary
Are you a citizen of the United States?
If "no" to above, are you authorized to work in the United States?
Have you ever worked for this company before? If yes, when?
Have you ever been convicted of a felony? if yes, explain.
Do you have a valid driver's license?
If "yes" to above, do you have any points against your license?
Are you available to work out of town, overnight, or weekly schedule?
Do you agree to random drug screening (in house only)?

Education
High School
Year of Graduating Class
Did you graduate?
References
Reference 1
Full Name
Relationship
Company
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Reference 2
Full Name
Relationship
Company
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Previous Employment
Company
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Responsibilities
Job Title
Ending Salary
Reason For Leaving
Supervisor
May we contact your previous supervisor for a reference?
Disclaimer & Signature
I certify that my answers are tru 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

MonthDayYear
Date
Should be Empty:

Employment Application