Employment Application

Employment Application
Full Legal Name*

First NameMiddle NameLast Name
Birth-date

MonthDayYear
Phone Number*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Check one

I am looking for Full time workI am Looking for Part time work
I can speak English:

FluentlyPoorlyNot at all
I am a U.S. Citizen or am authorized to work in the U.S. on an unrestricted basis:

YesNo
Have you ever been convicted of a felony? (This does not automatically exclude you from employment )

YesNo
Do you have a valid drivers license?

YesNo
Do you have reliable transportation?

YesNo
Are you afraid of heights?

YesNo

State All the Hours you are Available to work in the chart below.

	Sunday	Monday	Tuesday	Wednesday	Thursday	Friday	Saturday
From:
To:

Education History
High School
High School Name
High School City, State
Years Attended
Focus of Study
Graduated

YesNo
College
College Name
Years Attended
Focus of Study
Graduated

YesNo
Other Education
Other education:
Current Job Skills

Please Check Off All Of The Services That You Are Currently Experienced With And Can Provide Immediately Without Any Training Or Assistance
Gutter CleaningGutter RepairsRepair Roof LeaksSkylight Repair/ReplacementSiding RepairsCaulkingExterior Wood Trim Repair/ReplacementShutter Repairs/ReplacementCarpentry RoughCarpentry FinishPower Washing HousesPower Washing BuildingsPower Washing DecksStaining Wood DecksChimney RepairsDrywall RepairsGutter Guard InstallationsCleaning SidewalksExterior PaintingWindow ReplacementDoor ReplacementMinor Plumbing RepairsDeck RepairsFence RepairsAll Basic Handyman ServicesOther
Most Recent Employer
Most Recent Employer Name
Dates Worked For?

Date Started Date Ended

Dates Worked For
Most Recent Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Salary
Type of work performed
Reason for Leaving
Supervisors Name and Position
Second Most Recent Employer
Second Most Recent Employer Name
Dates Worked For

Date Started Date Ended

Dates worked for
Second Most Recent Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Salary
Type of work performed
Reason for Leaving
Supervisors Name and Position
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Thank you for taking time to complete this job application. We will be in contact with you shortly. We look forward to you potentially becoming part of our team!
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Employment Application

Education History

High School

College

Other Education

Current Job Skills

Most Recent Employer

Second Most Recent Employer