Employment Application

THIS APPLICATION IS NOT AN EMPLOYMENT CONTRACT but merely is intended to evaluate suitability for employment. It is the policy of the company to provide equal employment to all qualified persons without discrimination on the basis of sex, race, color, religion, age, national origin, citizenship, disability, veteran status, or any other status protected under local, state or federal law. It is also the policy of the company to have the option of conducting pre-employment screening before a job offer is made. If a job offer is made, employment may be contingent upon the successful completion of a pre-employment drug screening and/or medical examination. This application will remain active for 3 years.

Personal Information

First Name*

Middle Name

Last Name*

Home Phone

Work Phone

Cell Phone

Email Address

Addresses

	Street	City	State	Zip Code
Current Address

Education

	School Attended	City	State	Diploma	Degree/Cert.	Area of Study
High School				No Yes	GED
Grad School				No Yes
Trade School				No Yes

Employment Information

Position Applied For

Please answer all of the following questions.

1.

Are you at least 18 years of age and legally eligible to work for our company in the United States?

No Yes

2.

Have you worked for this business before?

No Yes

If yes, please provide dates and locations.

3.

Have you ever been discharged or asked to resign from a job?

No Yes

If yes, please explain...

Employment History

May we contact your present employer?

No Yes

	Most Recent Employer	Prior Employer	Prior Employer	Prior Employer
Employer
City
State
Zip Code
Phone
Position Held
From (m/yyyy)
To (m/yyyy)
Duties

Job-related Skills

1.

Union Trade Info

No Yes

Please list applicable union trade: (Carpenter, Painter, Laborer, etc.)

2.

Journeyman / Appreticeship Term Info

No Yes

Please list if Journeyman or Apprenticeship Term:

3.

Please list local Union Number:

4.	Please list skill set / certifications: (Ex. Setting Doors, Run Taping Tools, Welding, etc.):

5.	Please list any professional licenses, designations, certifications, etc. that may relate to the position applied for. Include date granted, name of organization, and any other relevant information.

References

	Reference (1)	Reference (2)	Reference (3)
Name
Address
Telephone
Relationship
Years Acquainted

Resume (Text Version)

	Copy and Paste a text version of your resume here.

Applicant Certification Agreement

1.	The company and other persons or employers are released from all liability brought forth by any investigation resulting from my submission of this electronic application and the data contained here in.
2.	The information in this application is true and complete to the best of my knowledge. Any falsification, misrepresentation, or omission on this application can be cause for denial or termination of employment.
3.	If hired, my employment is voluntary and bound under the CBA of my craft (if applicable). Upon acceptance of employment if a position is offered, I agree to abide by all existing and future company rules and regulations. Including safety and drug testing requirements.
4.	Any employment offer is contingent upon my providing proof of identity and eligibility to work the country of employment.
5.	I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.
6.	I understand that by typing my name in the signature box below and submitting this application electronically, this becomes a legal and binding contract.

Security Code

	Type Name in Signature Box:	Date: 2019-01-17 18:16:11