Maintenance Employment Application -

To apply for a position on our maintenance team, complete this application.

For the Office Employment Application click here>

INSTRUCTIONS

Please complete the application and answer all the questions. If something doesn’t apply, type either “none” or “N/A” to fill the empty field. Your answers must be accurate and honest. Please be sure to attach and upload a PDF or MS Word copy of your resume at the end of this form along with a picture of your driver’s license and SS card.

Today's Date:*

Date available to start work:*

Select position you are applying for:*

If other please enter here:

Desired salary per hour:*

Are you williing to negotiate salary?:*

How did you hear about this position?*

Do you know,or are you related to anyone that works for our company?:*

Yes

If yes, enter employee's name:

PERSONAL INFORMATION

Your Name:

First

Middle

Last

Your Current Address:*

Street Address City State / Province / Region Postal / Zip Code

How may years have you lived here:*

Your Previous Address:*

Street Address City State / Province / Region Postal / Zip Code

Driver's License #:*

State Driver's License Issued*

Social Security #:*

Date of Birth:*

day

month

year

Your Cell Phone:*

Area Code

Phone Number

Your Home Phone:

Area Code

Phone Number

Your Email:*

Have you ever been convicted of a felony or sex crime?:*

Yes

If yes, please explain:

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1st EMPLOYMENT HISTORY

Name of current or last Employer:

Employer's Address:

Street Address City State / Province / Region Postal / Zip Code

1. Employer's Phone:*

Area Code

Phone Number

Your Job Title::

Supervisor's Name & Title:

1. Date hired and last day employed:

Income:

Weekly

Monthly

Hourly

Amount of Earnings*

Were you terminated or did you leave voluntarily. Please explain the reason for leaving?:(1)*

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2nd EMPLOYMENT HISTORY

Name Employer:(1)

Employer's Address:(1)

Street Address City State / Province / Region Postal / Zip Code

Your Job Title::(1)

1. Employer's Phone:(1)*

Area Code

Phone Number

Supervisor's Name & Title:(1)

1. Date hired and last day employed:(1)

Income:(1)

Weekly

Monthly

Hourly

Amount of Earnings(1)*

Were you terminated or did you leave voluntarily. Please explain the reason for leaving?:*

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VEHICLE INFORMATION

Do you own a vehicle?:*

Yes:

No:

Year of vehicle:

Make and Model

Tell us about your vehicle:

My vehicle insurance is active:

My license plate is current

My brake tag is current:

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EMERGENCY CONTACT INFORMATION (at least one required)

Contact Name:*

First

Last

Contact Address:*

Street Address City State / Province / Region Postal / Zip Code

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EDUCATION AND VOCATIONAL TRAINING

Name of High School Attended:*

Highest Grade Completed:

Did you Graduate?

What College did you attend:

How many years of college did you complete:

Did you graduated:

What vocational training do you have? Please explain:

List any skills or talents that you have. Feel free to list anything here.

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PERSONAL REFERENCES

Reference 1 Name:

Relationship to this person 1:

Reference 1 Address:

Street Address City State / Province / Region Postal / Zip Code

Reference 1 Phone:

Area Code

Phone Number

Reference 2 Name:

Relationship to this person 2:

Reference 2 Address:

Street Address City State / Province / Region Postal / Zip Code

Reference 2 Phone:

Area Code

Phone Number

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INSTRUCTIONS FOR SKILLS YOU POSSESS: Check the box for each skill you possess.

LIST ANY OTHER SKILLS YOU POSSESS IN THIS AREA:

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INSTRUCTIONS FOR TOOLS YOU OWN: Check the box for each tool you own.

LIST ANY OTHER TOOLS YOU POSSESS IN THIS AREA:

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Please upload a picture of your Drivers license, SS card, and a copy of your resume if you have one.

UPLOAD RESUME: .PDF or MS Word .doc, xls, xlsx.

Upload your resume:

UPLOAD PIC OF DRIVERS LICENSE... png, jpg, gif, docx, xls, xlsx

Upload Dr. License:

UPLOAD PIC OF SOCIAL SECURITY CARD ...png, jpg, gif, docx, xls, xlsx

Upload SS :

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I, the [applicant, requestor, etc.] for this [type of form], warrant the truthfulness of the information provided in this application. I have read the electronic signature agreement and understand that typing my name in the "ELECTRONIC SIGNATURE" field and checking the "I AGREE" box constitutes a legal signature confirming that I acknowledge and agree to the all Terms of Acceptance.

Electronic signature:*

Box must be checked:*

I Agree