Employment Application

FIRST NAME: ________________________ LAST NAME _______________________


CDL #__________________________

STREET ________________________________________________________

CITY__________________________ STATE______________ ZIP__________

PHONE: _______________________ ALT. PHONE______________________

SSN: __________________________

FORMER ADDRESS (If less than 1 year at present address)

________________________________________________________________

PERSONAL REFERENCES:        Name ____________________ ph.__________________

                                                            Name _____________________ ph.__________________


EMPLOYMENT HISTORY – Total years in construction/electrical ____________
 Employer                            Phone                          Job Title                     Salary

____________________ (____) ____ - _____  ____________       ___________

From_______ to _________ Reason for leaving _________________________


Employer                               Phone                      Job Title                     Salary

____________________ (____) ____ - _____  __________        ___________

From_______ to _________ Reason for leaving ________________________


Employer                               Phone                        Job Title                    Salary

____________________ (____) ____ - ____  ____________          _________

From_______ to _________ Reason for leaving _________________________


Employer                               Phone                       Job Title                     Salary

___________________ (____) ____ - _____    ____________           _________

From_______ to _________ Reason for leaving __________________________ (PLEASE INCLUDE ALL EXPERIENCE FOR LAST 10 YEARS)

Use the following spaces to comment on anything else that you would like us to know about yourself.


________________________________________________________________

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EDUCATION:

High School ______________________________ City/ State _______________

Dates attended_____________________________ Graduated? _____________

College __________________________________ City/ State _____________

Dates attended ____________________________ Graduated? ____________

Other? __________________________________________________________

  Type of vehicle ___________________________ Lumber racks? ____________ What tools do you own? ____________________________________________ Describe what you liked or disliked about past supervisors.   _______________

________________________________________________________________

What types of things frustrate you in construction?  ________________________________________________________________

What do you see yourself doing in the future?__________________________________________________________

Have you ever supervised a crew? __________ How many people ___________

What one job, skill or accomplishment are you most proud of?  ________________________________________________________________________________________________________________________________

Do you know other trades? Which? __________________________________________

Desired Wage _______________________________

We are advised by our worker’s compensation insurance provider to ask you about any injuries that you may have suffered in the past few years. 

Please provide description. _________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I certify that the foregoing is true and correct to the best of my knowledge.

Signature __________________________________    Date _______________