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Employment

NAME:
Are you Over 18?
Present Address:
How Long You Lived There:
Previous Address:
How Long You Lived There:
Have you Ever Worked For This Company Before?
Do you have any friends or relatives that work here?
Do you have a reliable means of transportation to travel to and from work which will allow you to consistently arrive at work on time?
If a Drivers Liscence is required for the position for which you are applying, do you have a valid driver's license?
Have you been cited for a traffic violation of any kind within the last FIVE years?
Have you ever pled guilty or "no contest" to a crime or been convicted of a crime?
If Yes Give Details of Each . . .
How Many Days of Work have you missed in the last THREE years due to reasons other than paid holidays and vacation? Year # Days
Year # Days
Year # Days
Are you Capable of satisfactorily performing the essential job duties required of the position for which you are applying?

Education

Elementary High School College/University Graduate Professional
School Name
Years Completed
Diploma/Degree
Describe Course of Study or Major
Describe Specialized Training, Military Experience, Skills, and Extra-Curricular Activities

Record of Previous Employment

Name of Present Employer:
Address:
City State Zip
Telephone:
Name of Last Supervisor:
Your Tite or Position:
Employed From (mo./yr.):
Employed To (mo./yr.):
Starting Pay:
Ending Pay:
Reason for Leaving:


Name of Previous Employer:
Address:
City State Zip
Telephone:
Name of Last Supervisor:
Your Tite or Position:
Employed From (mo./yr.):
Employed To (mo./yr.):
Starting Pay:
Ending Pay:
Reason for Leaving:


Name of Previous Employer:
Address:
City State Zip
Telephone:
Name of Last Supervisor:
Your Tite or Position:
Employed From (mo./yr.):
Employed To (mo./yr.):
Starting Pay:
Ending Pay:
Reason for Leaving:

Character References

Name Occupation Address Telephone Number No. of Years Known

Have you ever been terminated or asked to resign from any job?
If So Why?

Please Explain Fully any Gaps in your employment history:

May we contact your current employer:

If no, why?

Position You are Applying For:

Salary Desired

Additional Information - Please Indicate Any Actual Experience You Have In Any of the Following Positions:

OFFICE

Bookkeeper
Data Entry
Accounts Payable
Accounts Receivable
Receptionist

Equipment Operator

Back Hoe
Bull Dozer
Grading With Tractor

Landscaping

Foreman
Designer
Sales
Hardscaping

Drainage

Sales
Sewer Man
Run Trencher
Outside Plumbing

Construction

Mason Work
Flat Concrete
New Plumbing
Underground Plumbing
Service Plumbing
Electric
Drywall
Carpentry
Heating

Car, Truck, Engine Repair

Shop Foreman
Dispatcher
Runner
Mechanic
Body Shop

Other

Phone Number:

This Application will be considered Active for a Maximum of Thirty Days. If you wish to be considered for employment after that time, you must reapply.

By Submitting this Application You Certify that All the Information that is Provided on This Application is True and Accurate