Employment

Date

Position Applying For:

Personal Information

Full Name:

Phone Number:

Cell Phone Number:

Social Security Number:

Drivers License Number:

State:

Expire Date:

Employment Eligibility

Are you eligible for employment in this country? (Proof of U.S. citizenship or immigration status wil be required.)

If driving is required, do you have a valid Washington State driver's licenses?

Have you ever been employed here before?

Please explain:

Do you have any relatives or friends working for our company?

Please explain:

Are there any restrictions as to the days of the week or the times of the day that you can work?

Please explain:

Are you able to meet attendance requirements?

Please explain:

Have you ever been convicited of a felony in the last seven (7) years? (Such a conviction may be relevant if job related, but does not bar you from employment.)?

Please explain:

Trade Information

Trade License Type: Trade License Type:

Years In Trade:

Trade License Number:

Expire Date:

Employment History

Please cover at least your last 10 years of employment.

Repeater

Name of Employer:

Date Started:

Date Ended:

Last Rate Of Pay:

Pay Unit:

Supervisor's Name:

Supervisor's Contact Information:

Reason For Leaving:

Add Remove

Personal Evaluation

In comparison to the others in your trade that you know or have worked with, please rate yourself on a scale of 1 to 5; with 1 = Poor / 2 = Below Average / 3 = Average / 4 = Above Average / 5 = Excellent

Knowledge - Ability to handle all phases of your trade including layout, installation of ground, and rough in, etc.

Leadership - Ability to independently plan, coordinate, and execute work within company policies.

Remarks

Please add any additional information such as training courses completed, first aid status, or any other information that would help us to evaluate your abilities.

Authorization

It is understood and agreed upon that any misrepresentation by me on this application will be sufficient cause for cancellation of this application and/or separation from the employer's service if I have been employed.

I give the employer the right to investigate all references and to secure additional information about about me, if job related. I hereby release from liability the employer and it representatives from seeking such information and all other persons, corporations, or organizations for furnishing such information.

The employer is an equal opportunity employer. It is our policy to seek and employ the best qualified personnel and to provide equal opportunity for the advancement of employees and to administer all of our personnel policies in a manner that will not discriminate against any person because of race, color, religion, age, sex, marital status, veteran status, national origin, ancestry, disability, on-the-job injury, union affiliation, or any other legally protected status unless it is a bona fide occupational requirement necessary to the operation of our company.

I understand that just as I am free to resign at any time, the employer reserves the right to terminate my employment at any time, with or without cause and without prior notice. I understand that no representative of the employer has the authority to make any assurances to the contrary.

I understand it is this company’s policy to maintain a drug free workplace.

I understand it is this company’s policy not to refuse to hire a qualified individual with a disability because of this person’s need for an accommodation that would be required by the ADA.

Signature

Clear

Date

Referred By:

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6505 233rd PL SE

Mon-Fri: 7:00am - 3:30pm

Customer Enquiry

6505 233rd PL SE

Mon-Fri: 7:00am - 3:30pm

Customer Enquiry

Application For Employment

Personal Information

Employment Eligibility

Trade Information

Employment History

Repeater

Personal Evaluation

Remarks

Authorization