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 Data
Name*
First Middle Last
Present Address*
Street Address City State ZIP Code
Permanent Address*
Street Address City State ZIP Code
Email*
Enter Email Confirm Email
Phone Number*
Additional Number
Availability
Position(s) and Location Applied for*
Date you can start*
MM slash DD slash YYYY
Are you employed now?*
If so, may we inquire of your present employer?
Are you willing to relocate to another area?*
Are you willing to travel periodically?*
Who referred you for employment?
All Applicants
Special 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?*
List 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?*
If YES, please explain*
Do you have any welding experience?*
If Yes, are you certified?*
Do you have any woodworking experience?*
If Yes, how long?*
Do you have any shipping experience?*
If Yes, how long?*
Do you have any receiving experience?*
If Yes, how long?*
Do you have any commercial driving experience?*
If Yes, are you certified?*
License Type:*
Do you have experience using a computer?*
If 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 1
Employer Name*
Employer Address*
From*
MM slash DD slash YYYY
To*
MM slash DD slash YYYY
Salary*
Position*
Reason for Leaving:*
Employer 2
Employer Name*
Employer Address*
From*
MM slash DD slash YYYY
To*
MM slash DD slash YYYY
Salary*
Position*
Reason for Leaving:*
Employer 3
Employer Name
Employer Address
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Salary
Position
Reason for Leaving:
Employer 4
Employer Name
Employer Address
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Salary
Position
Reason for Leaving:
Military Service
Are you a veteran?*
If yes, list type of discharge:*
DISCHARGE DATE*
MM slash DD slash YYYY
BRANCH OF SERVICE*
SPECIAL TRAINING*
RANK*
SPECIAL TRAINING*
Present membership in National Guard or Reserves?*
Date Obligation Ends*
MM slash DD slash YYYY
Physical Record
Do you have any physical limitations that preclude you from performing any work for which you are being considered?*
If YES, please explain*
Education
High School
Name & City of School
No. of Years
Graduate?
Course(s)
College
Name & City of School
No. of Years
Graduate?
Course(s)
Trade School
Name & City of School
No. of Years
Graduate?
Course(s)
Other Training
Name & City of School
No. of Years
Graduate?
Course(s)
CV Upload
File
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Accepted file types: pdf, Max. file size: 50 MB.
Applicant's Statement
I 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*
MM slash DD slash YYYY

Application for Employment

Personal Data

Availability

All Applicants

Special Purpose Questions

Please list years of experience:

Employment History

Employer 1

Employer 2

Employer 3

Employer 4

Military Service

Physical Record

Education

High School

College

Trade School

Other Training

CV Upload

Applicant's Statement