Application for Employment Questionaire
 Please fill out the form completely.

What job(s) are you applying for?
Full Name:
Home Address:
City:
 State/Province:
 Zip/Postal Code:
Phone:
 Fax:
E-Mail:
 
Are you over 18 years of age?
Yes No
 
Are you a legal US Citizen?
Yes No
What skills and personal attributes do you have that you believe would be applicable and desirable for the job you are applying?
 
What type of employment are you seeking?
Full Time Part Time
 
What is your desired starting salary/wage?
 
Can you read and write English at a high school level?
Yes No
 
Can you read, operate and understand a measuring tape?
Yes No
 
Can you add, subtract, mulitiply, and divide fractions?
Yes No
 
Can you convert fractions to decimal equivalents?
Yes No
 
What experience do you have working with wood, aluminum, glass or other building materials?
 
Do you have reliable transportation to and from work?
Yes No
 
Is there any reason you could not work overtime including Saturdays? (If yes, please explain)
 
Have you ever been convicted of a felony? (If yes, please explain)
 
Would you be willing and able to pass a drug test for any illegal drug?
Drug testing with negative results is required for employment. (If unable or unwilling to pass, please explain)
 
Do you have any physical impairment that would limit your lifting up to 80 lbs.? (If yes, please explain)
 

Former Employment (List in order of most recent)
 
May we contact your current employer?
Yes No
 
1.		  Employer Name:
 Dates Employed:
 Ending Wage:
 Job Position:
 Reason For Leaving:
 Supervisor Name and Phone:

2.






 
3.






Military Service (If Applicable)
  Branch of Service:
 Rank:
 Discharge Date:
 Duties Performed:

Education (List in order of most recent)
 
1.		 School Name & Location:
 Years Attended:
 GPA:
 Areas of Study:
 
2.




 
3.




Personal References
 
1.		 Name:
 Phone Number:
 Relationship:
 Years Acquainted:
 
2.




 
3.




  In an emergency, please notify:
 Phone Number:
 Relationship:
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Electronic Signature
By submitting this application, I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations made by me in this application or verbally during my job interview are discovered, my application may be rejected and if I am employed, my employment may be terminated at any time. In consideration of my employment, I agree to conform to and abide by all the Company's rules, regulations, code of ethics, and behavior. I agree that my employment can be terminated, with our without cause, with or without notice, at any time, at either my or the Company's option. I understand and agree that the terms and conditions of my employment including wage or salary, job duties, and job position may be changed, with or without cause, with or without notice, at any time by the Company. I understand that no Company representative, other than its President, and then only in writing and signed by the President, has the authority to enter into any agreement for employment for a specific period of time for any specific compensation.