Date
*
MM
DD
YYYY
Name
*
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Position Seeking
*
Do you have a valid driver's license?
*
Driver's License # / State Issued
Do you have a CDL?
*
Have you had any moving violations with the last 3 years?
*
Yes
No
If you answered yes, please explain.
Have you been convicted of a felony within the last seevn years, other than one which has been expunged, sealed, pardoned, impounded, or statutorily eradicated; or one that is a marijuana conviction more than two years old?
*
Conviction will not necessarily disqualify an applicant from employment.
Note: An applicant for employment with a sealed record on file with the commissioner of probation may answer “no record” with respect to an inquiry herein relative to prior
arrests, criminal court appearances, or convictions. In addition, any applicant for employment may answer “no record” with respect to any inquiry relative to prior arrests, court
appearances, and adjudications in all cases of delinquency or as a “child in need of services” which did not result in a complaint transferred to the superior court for criminal
prosecution.
If you answered yes, please explain.
Have you ever applied for Adams Building & Contracting, LLC?
*
Construction work requires strenuous physical activity, such as: climbing several flights of stairs or ladders uninterrupted, working at height, lifting at least 70 pounds, repetitive lifting, working 40 to 50 hours per week, and other activities. Are you able to perform these tasks with or without accommodation?
*
Are you currently employed?
*
Present/Last Employer
*
Please list the position, Supervisor name & phone number, Start & End Date, and your reason for leaving.
*
Employer 2
*
Please list the position, Supervisor name & phone number, Start & End Date, and your reason for leaving.
*
Other
Reference 1
*
Please include the first & last name and position of Reference 1, as well as the relationship and phone number
Reference 2
*
Please include the first & last name and position of Reference 2, as well as the relationship and phone number
Reference 3
*
Please include the first & last name and position of Reference 3, as well as the relationship and phone number
Date you can begin work
*
MM
DD
YYYY
You are available to work
*
Do you have reliable transportation?
*
Are you available to work 40 hours per week?
*
Are you available to work Monday through Friday?
*
Are you available for Overtime if necessary?
*
Can you read a tape measure?
*
How much experience have you had working with a tape measure?
*
Please use this space to summarize any additional information that you feel qualifies you for the position you are seeking.
Applicant Signature
*
