Application for Employment (Pre-Employment Questionnaire) (An Equal Opportunity Employer) **APPLICANT: Please fill in all sections completely Resumes may be attached but do not substitute for the application Personal DataName* First Middle Last Present Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Permanent Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Enter Email Confirm Email Phone Number*Additional NumberAvailabilityPosition(s) and Location Applied for*Date you can start* Are you employed now?*YesNoIf so, may we inquire of your present employer?YesNoAre you willing to relocate to another area?*YesNoAre you willing to travel periodically?*YesNoWho referred you for employment?All ApplicantsSpecial Purpose Questions THE FOLLOWING IS INFORMATION REQUIRED FOR WAREHOUSE/FIELD POSITIONS FOR A BONA FIDE OCCUPATIONAL QUALIFICATION, OR DICTATED BY NATIONAL SECURITY LAWS, OR IS NEEDED FOR OTHER LEGALLY PERMISSIBLE REASONS:Driver's License* Number State Expiration Date Have you been charged and/or convicted of DWI?*YesNoList all moving traffic violations during the past three (3) years*List any experience in the lightning protection field or construction field*Have you had any experience reading Architectural, Structural, and Mechanical, Electrical, Plumbing (MEP) blueprints?*YesNoIf YES, please explain*Do you have any welding experience?*YesNoIf Yes, are you certified?*YesNoDo you have any woodworking experience?*YesNoIf Yes, how long?*Do you have any shipping experience?*YesNoIf Yes, how long?*Do you have any receiving experience?*YesNoIf Yes, how long?*Do you have any commercial driving experience?*YesNoThird ChoiceIf Yes, are you certified?*YesNoLicense Type:*Do you have experience using a computer?*YesNoIf so, how long?* Macintosh years PC (DOS) years Please list years of experience:Data entry years*Word Processing years*Telephone / Receptionist years*Accounts Payable years*Accounts Receivable years*Invoicing years*List any other work-related experience that you feel qualifies you for this position :Employment History (list your last employer first)Employer 1Employer Name*Employer Address*From* To* Salary*Position*Reason for Leaving:* Employer 2Employer Name*Employer Address*From* To* Salary*Position*Reason for Leaving:* Employer 3Employer NameEmployer AddressFrom To SalaryPositionReason for Leaving: Employer 4Employer NameEmployer AddressFrom To SalaryPositionReason for Leaving:Military ServiceAre you a veteran?*YesNoIf yes, list type of discharge:*DISCHARGE DATE* BRANCH OF SERVICE*SPECIAL TRAINING*RANK*SPECIAL TRAINING*Present membership in National Guard or Reserves?*YesNoDate Obligation Ends* Physical RecordDo you have any physical limitations that preclude you from performing any work for which you are being considered?*YesNoIf YES, please explain*EducationHigh SchoolName & City of SchoolNo. of YearsGraduate?YesNoCourse(s) CollegeName & City of SchoolNo. of YearsGraduate?YesNoCourse(s) Trade SchoolName & City of SchoolNo. of YearsGraduate?YesNoCourse(s) Other TrainingName & City of SchoolNo. of YearsGraduate?YesNoCourse(s)CV UploadFile Drop files here or Accepted file types: pdf. Applicant's StatementI certify that answers given herein are true and complete to the best of my knowledge. I authorize an investigation of all statements contained in this application for employment as may be necessary in arriving at any employment decision. I understand that this application is not and is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in termination. I also understand that I am required to abide by all rules and regulations of the company.Signature*Print Name*Date* This iframe contains the logic required to handle Ajax powered Gravity Forms.