Employment Application | Job Application

Personal Information

Full Name*:
(first middle last)

Email*:

Current Address*:

City*: State*:

How long? Own or rent?

Previous Address:

City: State:

How long? Own or rent?

Phone 1*:

Home Cell

Phone 2:

Home Cell

General Information

Are you Over 18?*

Yes No

Are you a US citizen and legally eligible to work in the United States?*

Yes No

How were you referred?

Are any of your relatives employed with the company?

Yes No
If yes, name of relative:

Have you ever applied to Designed Stairs before?

Yes No
If yes, approx. date:

Have you ever worked for Designed Stairs before?

Yes No
If yes, aprox. date:

Have you ever been convicted of a crime or violation other than a minor traffic infraction?

Yes No
If yes, please explain:

(A CONVICTION RECORD WILL NOT NECESSARILY BE A BAR TO EMPLOYMENT. FACTORS SUCH AS JOB RELATIONS, AGE AND TIME OF THE OFFENSE, SERIOUSNESS AND NATURE OF VIOLATION AND REHABILITATION WILL BE TAKEN INTO ACCOUNT.) You are not required nor will you be asked to report whether you have a sealed or expunged conviction or whether you have an arrest.

Have you ever been discharged from any employment or asked to resign?

Yes No
If yes, please explain:

AVAILABILITY:

I am available and desire to work FULL-TIME
I am available and desire to work PART-TIME

Available start date:

Hours Available	MON	TUE	WED	THU	FRI	SAT	SUN
FROM
TO

Wage Expected:

Position Applying For:

Employment History

Begin with the most recent employment.

Employer #1

Name of Company:

	Month	Year	Starting Salary
FROM
TO

Address:

City, State, Zip:

Phone:

Name & Title of Immediate Supervisor:

Your Job Title:

Describe Your Job Duties:

Reason for Leaving:

Employer #2

Name of Company:

	Month	Year	Starting Salary
FROM
TO

Address:

City, State, Zip:

Phone:

Name & Title of Immediate Supervisor:

Your Job Title:

Describe Your Job Duties:

Reason for Leaving:

Employer #3

Name of Company:

	Month	Year	Starting Salary
FROM
TO

Address:

City, State, Zip:

Phone:

Name & Title of Immediate Supervisor:

Your Job Title:

Describe Your Job Duties:

Reason for Leaving:

Employer #4

Name of Company:

	Month	Year	Starting Salary
FROM
TO

Address:

City, State, Zip:

Phone:

Name & Title of Immediate Supervisor:

Your Job Title:

Describe Your Job Duties:

Reason for Leaving:

Education

Type of School	Last Year Attended	Graduated?
High School	9 10 11 12	Yes No
College	1 2 3 4	Yes No
College	1 2 3 4	Yes No
Business/Trade	1 2 3 4	Yes No
Other	1 2 3 4	Yes No

Agreement

I CERTIFY THAT ALL ANSWERS GIVEN BY ME ARE TRUE, ACCURATE AND COMPLETE. I UNDERSTAND THAT THE FALSIFICATION, MISREPRESENTATION OR OMISSION OF FACT ON THIS APPLICATION (OR ANY OTHER ACCOMPANYING OR REQUIRED DOCUMENTS) WILL BE CAUSE FOR DENIAL OF EMPLOYMENT OR IMMEDIATE TERMINATION OF EMPLOYMENT, REGARDLESS OF WHEN OR H0W DISCOVERED.

It is the policy of the company to afford equal opportunity to all employees and applicants for employment without regard to age, race, religion, color, sex, national origin, marital status, expunged juvenile records, or pregnancy, and to afford equal opportunities to disabled veterans, veterans of the Vietnam era, and individuals with a disability, any and other characteristic protected by Federal, State or Local law.

I authorize the investigation of all statements and information contained in this application. I release from all liability anyone supplying such information and I also release the employer from all liability that might result from making an investigation.

*I acknowledge that I have read and understand the above statements and hereby grant permission to confirm the information supplied on this application by me.

Date*:

Help Us Get to Know You

What job (or class) have you found most challenging and why?

What is a recent problem you had and how did you solve it?

What are your hobbies?

What things do you not like to do and why?

What are you most proud of and why?

Who is your role model and why?

Describe what it means to be a "good worker"?

Why are you interested in this job or type of work? Why do you want to work here?

What is your experience with this type of work?

What kind of tools/machines have you operated?

What kind of computer/software have you used?

What was your grade point average in math?

What is the highest level math you have taken, and what grade did you get in it?

List any other experience, skills, or other qualifications including hobbies, which you would like considered:

If desired, attach a résumé here:
(10MB max.)

*Required!

If you're human, leave this blank.

Application for Employment

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