Application for Employment
Position applied for
*
First name
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Middle name
Last name
*
Date of birth
*
-
Month
-
Day
Year
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone number
*
Format: (000) 000-0000.
Referral source (how did you hear about us?)
*
Emergency contact name
*
Emergency contact phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency contact relationship to you
*
Do you speak Spanish?
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Fluently
Conversationally
No
Date available for work
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-
Month
-
Day
Year
Date
Type of employment desired?
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Full-time
Part-time
Temporary
Seasonal
Driver's license number and state (if driving may be required for position in which you're applying)
Answering "yes" to the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account. Have you ever pled "guilty" or "no contest" to, or been convicted of a crime?
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Yes
No
If "yes", please provide dates and details.
Employment History
Employer #1
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Dates employed
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Starting wage
$USD
Hourly or salary
Hourly
Salary
Starting job title
*
Final job title
*
Final wage
Hourly or salary
Hourly
Salary
Immediate supervisor and title
*
May we contact for reference?
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Yes
No
Later
Why did you leave?
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Summarize the type of work performed and job responsibilities
*
What did you like most about your position?
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What were the things you liked least about the position?
*
Employer #2
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Dates employed
Starting wage
$USD
Hourly or salary
Hourly
Salary
Starting job title
Final job title
Final wage
Hourly or salary
Hourly
Salary
Immediate supervisor and title
May we contact for reference?
Yes
No
Later
Why did you leave?
Summarize the type of work performed and job responsibilities
What did you like most about your position?
What were the things you liked least about the position?
Skills and Qualifications
Summarize any special training, skills, licenses and/or certificates that may assist you in the position for which you are applying
Computer skills
Word processing
Spreadsheets
Presentations
Builder software
If you selected "Builder software" above, please state which programs:
Educational Background
Starting with your most recent school attended, please provide the following information.
School #1 (include city, state)
*
Years completed
*
Completed
*
Diploma
GED
Degree
Certification
Other
Major/minor
School #2 (include city, state)
Years completed
Completed
Diploma
GED
Degree
Certification
Other
Major/minor
References
List names and telephone numbers of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three schools or personal references who are not related to you.
Name #1
*
Title
*
Relationship to you
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Number of years known
*
Name #2
*
Title
*
Relationship to you
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Number of years known
*
Name #3
*
Title
*
Relationship to you
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Number of years known
*
Applicant Statement
I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that this employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States of America and that federal immigration laws require me to complete an I-9 Form in this regard. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1) eliminate me from further consideration for employment, or (2) may result in my immediate discharge from the employer’s service, whenever it is discovered. DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT. I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement:
Date
*
-
Month
-
Day
Year
Date
Signature
List of experience
*
Rows
No experience (would like to learn)
Some experience (still need direction)
Much experience (minimal direction needed)
Supervision
Survey/stakeout/building layout
Equipment operation
Concrete slabs
Concrete footings & foundations
Concrete finishing
Welding work
Rough carpentry
Layout walls
Finish carpentry (trimwork)
Cabinet/countertop hanging
Asphalt shingling
Metal roofing
Metal/vinyl/soffit/fascia
Hang metal or wood doors
Mount windows
Steel stud framing
Drywall finishing
Acoustical ceiling tile work
HVAC work
Plumbing
Steel building erection
Pole building erection
Residential construction
Commercial construction
Other skills
Is there anything else you would like to share with us?
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*
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