Name
*
First Name
Last Name
Current Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How long have you lived there?
*
Phone
*
(###)
###
####
Email
*
Are you 18 years of age or older?
*
Yes
No
Desired Position
*
Remodel Carpentry
Designer
Window/Door Specialist
Other
Desired Pay
*
How many hours a week can you work?
*
When can you start?
*
MM
DD
YYYY
How did you hear about us?
School History
*
Please list the name of your high school/ college/ trade school year graduated, school location, and your major/degree.
Have you ever been convicted of a felony?
Yes
No
If yes, please explain:
Do you have a valid drivers license?
Yes
No
Do you have reliable transportation?
Yes
No
Would a company vehicle be of interest to you (field only)?
Yes
No
Driver's License #
*
State of Issue
*
Expiration Date
MM
DD
YYYY
Have you had any accidents during the past three years?
No
Yes
If so, how many?
Have you ever been cited for driving under the influence of alcohol or any banned substances?
No
Yes
If so, please explain:
How many years of experience do you have for each of the following?:
Framing
*
No Experience
1
2
3
4
5
Masonry
*
No Experience
1
2
3
4
5
Painting & Staining
*
No Experience
1
2
3
4
5
Doors & Windows
*
No Experience
1
2
3
4
5
Drywall
*
No Experience
1
2
3
4
5
Trim
*
No Experience
1
2
3
4
5
Tile Installation
*
No Experience
1
2
3
4
5
Do you think you're a team player? If so, why?
*
Please list and describe your three best qualities:
*
Do you own the following tools or would you be willing to purchase them?
Cordless Drill, Tool Belt, Drywall Knife & Rasp, Hammer, Speed Square, Tape Measure, Pry Bar, Snips, Bull-Nose Plyers, 5-in-1 Tool, Screw Drivers
Yes
No
Please name your most recent employer:
*
Employer's Phone Number
*
(###)
###
####
Employer's Email
*
Please list your job title:
*
Reason for leaving?
*
Please list the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this company, or any other information about this job you think might be useful to us.
*
Please list the name of a character reference other than relatives or previous employers.
*
Their relationship to you:
*
Their Phone:
*
(###)
###
####
Their Email:
*
Signature of Applicant
*
Please read carefully before signing.
I certify that I have personally completed this employment application and all the information on this application is accurate and complete to the best of my knowledge. I understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.
I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Golden Rule Remodeling creates an actual or implied contract of employment. I understand that if I accept employment with Golden Rule Remodeling it will be on an at-will basis. This means that either Golden Rule Remodeling or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.
I agree to submit to drug and alcohol testing, if requested by Golden Rule Remodeling. I release Golden Rule Remodeling and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing.
I agree to submit to a physical, if requested by Golden Rule Remodeling. I release Golden Rule Remodeling and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing.
I understand that Golden Rule Remodeling will obtain one or more consumer reports or investigative consumer reports (or both) about me for employment purposes. These purposes may include hiring, contract, assignment, promotion, re-assignment, and termination. The reports will include information about my character, general reputation, personal characteristics, and mode of living.
Golden Rule Remodeling will obtain these reports through a consumer reporting agency. The consumer reporting agency is Research Information Services LLS (RIS). RIS's address is:
2741 39th St., Topeka KS 66617.
RIS's telephony number is 785-235-6767.
To prepare reports, RIS may investigate my education, work history, professional licenses and credentials, references, address history, social security number validity, right to work, criminal record, lawsuits, driving record, credit history, and any other information with public or private information services.
I understand that I may obtain a copy of any report that RIS provides and RIS files about me by mail by providing identification to RIS. If I do, RIS will provide me help to understand files, including trained personnel and an explanation of any codes.
If RIS obtains any information by interview, I have the right to obtain a complete and accurate disclosure of the scope and nature of the investigation performed.
Golden Rule Remodeling is an equal opportunity employer. We adhere to a policy of making employment decisions based solely on your qualifications without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age, or disability.
My electronic signature below certifies my acknowledgement and receipt of this disclosure.
Date
*
MM
DD
YYYY