Position Applied For
|
Field Position |
Superintendent
General Foreman
Foreman
Journeyman
Welder
General Laborer
Laborer |
Office Position |
|
Personal Information
|
Name (First, Middle
Initial, Last) |
|
City |
|
State |
|
Zip code |
|
Telephone # |
|
Emergency Telephone # |
|
Birth Date |
|
Social Security Number |
|
Are you an American
Citizen? |
Yes
No |
Are you currently
employed? |
Yes
No |
If so, where and how long? |
|
Present/Last Employer
|
Job 1) Company |
|
Job 1) Date Started |
|
Job 1) Date Ended (if
applicable) |
|
Job 1) Address (Street,
City, State, Zip Code) |
|
Job 1) Phone # |
|
Job 1) Position/Title |
|
Job 1) Salary |
|
Job 1) Describe Job
Position & Duties |
|
Job 1) Reason for Leaving |
|
Previous Employer #2
|
Job 2) Company |
|
Job 2) Date Started |
|
Job 2) Date Ended (if
applicable) |
|
Job 2) Address (Street,
City, State, Zip Code) |
|
Job 2) Phone # |
|
Job 2) Position/Title |
|
Job 2) Salary |
|
Job 2) Describe Job
Position & Duties |
|
Job 2) Reason for Leaving |
|
Previous Employer #3
|
Job 3) Company |
|
Job 3) Date Started |
|
Job 3) Date Ended (if
applicable) |
|
Job 3) Address (Street,
City, State, Zip Code) |
|
Job 3) Phone # |
|
Job 3) Position/Title |
|
Job 3) Salary |
|
Job 3) Describe Job
Position & Duties |
|
Job 3) Reason for Leaving |
|
Trade Skills
|
List those skills, which
you feel would qualify you for the job applied for |
|
Other Skills
|
List other skills Example:
Heavy equipment operation or certifications |
|
References
|
Reference 1) Name |
|
Reference 1) Business |
|
Reference 1) Phone # |
|
Reference 1) Years Known |
|
Reference 2) Name |
|
Reference 2) Business |
|
Reference 2) Phone # |
|
Reference 2) Years Known |
|
Reference 3) Name |
|
Reference 3) Business |
|
Reference 3) Phone # |
|
Reference 3) Years Known |
|
Other Questions
|
Do you have a valid
driver's license? |
Yes
No |
Do you have reliable transportation? |
Yes
No |
Are you willing to be drug screened? |
Yes
No |
Have you received treatment for drug or alcohol abuse? |
Yes
No |
Have you ever been convicted of a felony? |
Yes
No |
|