Application for Employment

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status. Required information is marked with an asterisk (*).

Date *

Date

YYYY

Position Desired *

Personal Information

Name *

Name

First Name

Last Name

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone (if none available, please enter all zeroes) *

Home Phone (if none available, please enter all zeroes)

(###)

###

####

Mobile Phone (if none available, please enter all zeroes) *

Mobile Phone (if none available, please enter all zeroes)

(###)

###

####

Email Address *

If you are under 18 years of age, can you provide required proof of your eligibility to work?

Yes

Have you ever been employed with us before? *

Yes

If so, provide approximate start date:

YYYY

Are you currently employed? *

Yes

If so, may we contact your present employer? *

Yes

Are you prevented from lawfully becoming employed in this country because of visa or immigration status? (Proof of citizenship or immigration status will be required upon employment.) *

Yes

On what date would you be available to begin work? *

On what date would you be available to begin work?

YYYY

Are you available to work: *

Full Time

Part Time

Either

Are you currently on "lay-off" status and subject to recall? *

Yes

Please list any non-English language you speak (S), read (R) and/or write (W); and whether you reading, speaking or writing is fluent (FL), good (G) or fair (F). For example, if you speak, read and write Spanish fluently, indicate: Spanish SFL, RFL, WFL.

Education

Elementary School: School Name/Address/Years Completed

High School: School Name/Address/Years Completed/ Course of Study/Diploma Degree

Undergraduate College: College Name/Address/Course of Study/Years Completed/Diploma Degree

Graduate/Professional College: College Name/Address/Course of Study/Years Completed/Diploma Degree

Describe any specialized training, apprenticeship and skills that may be job-related:

Describe any job-related training received in the United States Military:

Employment Experience: Start with your present or last job. Include any job-related military service, assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, handicap or other protected statuses.

Employer 1

Address

Dates Employed

Supervisor's Name

Work Performed

Hourly Rate/Salary: Starting and Final

Reason for Leaving

Employer 2

Address

Dates Employed

Supervisor's Name

Work Performed

Hourly Rate/Salary: Starting and FInal

Reason for Leaving

Please provide at least 2 references who are not related to you. List their name, phone number and relationship to you.

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained active for a period of time not to exceed 45 days. (Any applicant wishing to be considered for employment beyond this time period should inquire whether or not applications are being accepted at that time.) I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is on an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time, with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of Bremtown Fine Custom Cabinetry. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of Bremtown Fine Custom Cabinetry. *

Agree

Do Not Agree