Job Application

AN EQUAL OPPORTUNITY EMPLOYER
It is the policy of Ted Lare Design Build to provide employment opportunities without regard to race, color, religion, sex national origin, age, or veteran status.

IMORATANT: Answers that are incomplete may prevent us from considering your application.
Online Employment Application

Please complete the form below to apply for a position with us.
Personal Information
* Indicates a required field
Full Name
First, Middle and Last Name (Required)
Current Address

Street Address

Street Address Line 2 (Apt#, PO Box, etc)

CityState / Province

Postal / Zip Code
Email Address
Phone Number
Format: (000) 000-0000.
Birth Date

MonthDayYear
Social Security #
Are you legally authorized to work in the United States?
Which position are you applying for?
List Your Hobbies and Interests

Military Service and Status
Branch of Service (if None, state none then click Next at the bottom)
Military Occupation
Start Date of Active Duty
End Date of Active Duty
Rank at the time of Separation

Position Information
Do you have a disability that is physical or mental impairment that without reasonable accommodations would prohibit your from performing this job?
If YES to previous question, please explain.
Wage Expected (negotiable).
Are you willing to work any shift, including nights and weekends?
Are any relatives, including in-laws, employed at this company? If yes, please give name, relationship, and position.
Have you ever previously applied for employment at this company?
If yes to previous question, list when.
You should hire me for your team because:

Education
High School
Name of High School and Address:
Attended from:
to:
Graduated:
College
Name of College or University and Address:
Attended from:
to:
Graduated:
Major:
Degree, Diploma, Certificate, Etc Received:
Other
Other (Technical, Vocation, Graduate, Etc) Name and Address:
Attended from:
to:
Graduated:
Major:
List any Scholarships, academic honors, awards or special achievements:

Emplyment History
IMPORANT: Starting with your present or most recent employer, list in consecutive order all employment and periods of unemployment since you graduated from or last attended high school. Additional Employment may be listed on a separate page(s) if necessary.
Present or Most Recent Employer
Company Name:
Phone Number
Format: (000) 000-0000.
Employed From and To:
Salary/Wage
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Department, Position Held and Duties:
Name and Title of Supervisor:
Reason for Leaving:
Previous Employer 1
Company Name:
Phone Number
Format: (000) 000-0000.
Employed From and To:
Salary/Wage
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Department, Position Held and Duties:
Name and Title of Supervisor:
Reason for Leaving:
Previous Employer 2
Company Name:
Phone Number
Format: (000) 000-0000.
Employed From and To:
Salary/Wage
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Department, Position Held and Duties:
Name and Title of Supervisor:
Reason for Leaving:
Other Employment
List part-time employment while in school, including company names(s), addresses, dates of employment:
Are there any periods of unemployment and/or part-time employment since you graduated or last attended high school which are not listed above or on a separate sheet? Please explain:
Have you ever been suspended, placed on probation, asked to resign, discharged or terminated? Please explain:

Miscellanious Information
Do you have a valid drivers license?
License Number:
State Issued:
Expiration Date:
Have you ever been convicted of or sentenced for any violations of the law?
If yes to the above question, give full particulars. (The existence of a criminal record does not constitute and an automatic bar to employment)
How did you hear about this job position ?
if Other from above, please explain how you heard about this job position.

Applicant’s Certification and Agreement
Click on "Upload Files" button to include additional files such as your resume or similar documents to help support this online Employee Application.
Upload Files

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I HEREBY CERTIFY that my answers to the foregoing questions are true and complete and that I have not knowingly withheld any facts, circumstances or other information which would, if disclosed, affect my application. I further understand that any false or misleading statement or omission of pertinent information will result in the rejection of my application, or in dismissal if discov-ered subsequent to my employment.

Thank you for completing this application. It will remain under consideration for six months. It will not be necessary for you to reapply during this six month period. Your interest in Ted Lare Design Build is appreciated.
Click the button below to submit this application:
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Online Employment Application

Military Service and Status

Position Information

Education

Emplyment History

Miscellanious Information

Applicant’s Certification and Agreement