Employee Application | Twin Ports Waterproofing

*note that all fields are required to be filled in before submitting the application.

Applications are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job-related medical condition or handicap.

Personal Information

Name:

Street Address:

City/State/Zip

Phone:

Alternate Phone:

Email Address:

Today's Date:

Available Start Date:

Position Applying For:

Full Time

Part Time

Temporary

Desired Hourly Wage:

Do you have a valid driver's license?

Yes

Have you ever been convicted of or charged with a felony or misdemeanor?

Yes

If yes, please explain details in full, including dates, details of offense(s) charged, jurisdiction and disposition of case:

Education

Schools Attended

# of Years

Year of Graduation

Degree

Employment / Work Experience

Start with your present or most recent position. Include military service assignments and volunteer activities. Exclude organization names that indicate race, color, religion, sex, or national origin.

Employer:

Job Title:

Supervisor:

Street Address:

City/State/Zip

Phone:

Describe Duties / Responsibilities / Accomplishments

Starting Wage:

Reason for Leaving:

Dates of Employment (month/year):

From: To:

Employer:

Job Title:

Supervisor:

Street Address:

City/State/Zip

Phone:

Describe Duties / Responsibilities / Accomplishments

Starting Wage:

Reason for Leaving:

Dates of Employment (month/year):

From: To:

Employer:

Job Title:

Supervisor:

Street Address:

City/State/Zip

Phone:

Describe Duties / Responsibilities / Accomplishments

Starting Wage:

Reason for Leaving:

Dates of Employment (month/year):

From: To:

Business References

Please provide individual and company names, position, addresses and phone numbers for 3 (three) business references.

Name:

Company:

Position:

Street Address:

City/State/Zip

Phone:

Name:

Company:

Position:

Street Address:

City/State/Zip

Phone:

Name:

Company:

Position:

Street Address:

City/State/Zip

Phone:

Personal References

Name:

Relationship:

How long known:

Street Address:

City/State/Zip

Phone:

Name:

Relationship:

How long known:

Street Address:

City/State/Zip

Phone:

Name:

Relationship:

How long known:

Street Address:

City/State/Zip

Phone:

Special Skills

Describe any special skills or qualifications you possess for this line of work:

I CERTIFY that the above answers are true and complete to the best of my knowledge. I authorize Twin Ports Waterproofing, to investigate any statement contained in this application, and to obtain a credit report on me as necessary to determine my qualifications. I understand that this application is not and is not intended to be any kind of contract or agreement. In the event of employment, I understand that any false or misleading information given in my application, correspondence, discussions or interview may result in immediate termination. I understand also, that I am required to abide by all rules, regulations and policies of Twin Ports Waterproofing.

Yes

Signature:

Date: