Employment Employment Application Your Information Full Name * Date Address * Street Address * City * State * Zip Code Phone * Email Date Available Type of Employment Full Time Part Time Temporary Desired Salary Are you a citizen of the United States? Yes No If no, are you authorized to work in the U.S.? Yes No Have you ever worked for this company? Yes No If yes, when? **Note: An affirmative answer to the following question will not automatically disqualify you from consideration for the position for which you are applying. Factors such as age of conviction, time of events, seriousness and nature of the violation, in relation to the position you are seeking and rehabilitation are taken into account. Have you ever pled guilty or "no contest" to a crime or been convicted of a crime? Yes No If yes, list dates and details Education High School Address Did you graduate? Yes No Diploma College / Other Address Did you graduate? Yes No Degree Previous Employment Company * Phone * Address * Supervisor * Job Title * Starting Salary * Ending Salary * Responsibilities * From To * Reason for Leaving * May we contact your previous supervisor for a reference? * Yes No Company Phone Address Supervisor Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? Yes No Company Phone Address Supervisor Job Title Starting Salary Ending Salary Responsibilities From To Reason for Leaving May we contact your previous supervisor for a reference? Yes No Do you have reliable transportation to travel to and from work which will allow you to consistently arrive to work on time? Yes No Are you capable of satisfactorily performing the essential job duties of the position for which you are applying? Yes No Are you 18 years of age or older? Yes No Disclaimer and Signature | understand that this application will be given every consideration, but is not a promise of employment. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. Thereby state that all of the information that I provide on this application and in my interview is true and accurate. I understand that if I am hired, my employment will be for no definite period, regardless of the period of payment of my wages. I further understand that I have the right to terminate my employment at any time with or without notice, and that the Company has that same right. No one other than the President of the Company has the authority to modify this relationship or make any agreements to the contrary. Any such modifications or agreement must be in writing. I understand that the Company reserves the right to require me to submit to a test for the presence of drugs in my system prior to employment and at any time during my employment to the extent permitted by law. I also understand that any offer of employment may be contingent upon the passing of a test for the presence of drugs in my system, performed by a doctor selected by the Company. Further, I understand that at any time after I am hired, the Company may require me to submit to a drug test to the extent permitted by law. I consent to the disclosure of the results of the drug test to the Company. I also understand that I may be required to take other tests, such as a personality test, prior to employment and during my employment. DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT I CERTIFY THAT ALL OF THE INFORMATION THAT I HAVE PROVIDED ON THIS APPLICATION IS TRUE AND ACCURATE. Signature (Type your name) Date You may also email your resume to [email protected]. * I have read and understand, and know that I may also email my resume to [email protected]. Application Questionaire Math Knowledge A contractor paid bills of $131.25, $278.16, and $78.29 for materials and labor on a certain job. He accepted the contract for $550.00. What was his profit? A deck requires several pieces of 2" x 4" lumber 2' long. How many pieces can be cut from two sections of lumber measuring 2" x 4" x 10'? 927x82 472x361 504 ÷ 4 83,776 ÷ 32 Reading Tape Measures Read the measurements below and record your answer appropriately. Dimension MUST be in feet & inches. Example: 9' - 3 1/2" Tape Measure 1 (Tape Measure 1) A. (Tape Measure 1) B. (Tape Measure 1) C. Tape Measure 2 (Tape Measure 2) A. (Tape Measure 2) B. (Tape Measure 2) C. Tape Measure 3 (Tape Measure 3) A. (Tape Measure 3) B. (Tape Measure 3) C. If you are human, leave this field blank. Submit Δ
