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Personal and Contact Information
First Name:
Last Name:
Address:
City, Zip:
Home Phone:
Email:
Are you a citizen of the United States?: Yes   No  
If not, do you have work papers?: Yes   No  

Education
High School
(name and location)
Did you graduate?: Yes   No  
Business/Trade School
Did you graduate?: Yes   No  
Degree:
College
Did you graduate?: Yes   No  
Degree:
Grad/Professional School
Did you graduate?: Yes   No  
Degree:

Employment History
Most Recent
Firm:
Address:
Supervisor:
Nature of Business:
Dates of Employment:
 Ending Salary:
Positions Held: Reason for Leaving:
#2
Firm:
Address:
Supervisor:
Nature of Business:
Dates of Employment:
 Ending Salary:
Positions Held: Reason for Leaving:
#3
Firm:
Address:
Supervisor: Nature of Business:
Dates of Employment:
 Ending Salary:
Positions Held: Reason for Leaving:

Skill Levels
(0) no experience, (1) watched or assisted, (2) apprentice 2-4 years
(3) journeymen 4-8 yrs, (4) master 8 yrs plus
Transfer tape measurements
to 32nd of a inch		 0   1   2   3   4  
Use of router and hinge templates 0   1   2   3   4  
Use of table saw 0   1   2   3   4  
Install door casing 0   1   2   3   4  
Install crown molding 0   1   2   3   4  
Prehang a door within 1 hour 0   1   2   3   4  
Cut and install door in existing frame 0   1   2   3   4  
Note: We will be training all new employees in our installation methods; this is only a guide to determine your current skill level.

References
Please furnish the names and addresses of two people to whom you are not related and by whom you have not been employed.
#1
Name:
Address:
Phone:  
#2
Name:
Address:
Phone:  
Who referred you to us?:
Newspaper Agency Person
Summarize your special skills or qualifications:


 
Certification by Applicant
Read carefully before submitting:
I certify that my answers are true and complete to the best of my knowledge.

I authorize you to make such investigations and inquires of my personal, employment, educational, financial, or medical history and other related matters as may be necessary for an employment decision. I hereby release employers, schools, or persons from all liability in responding to inquires in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interview may result in termination of employment.

 * Yes, I authorize the above.  

 
   
Printed name     Date
 
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