APPLICATION

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READ BEFORE CONTINUING – FAILURE TO COMPLY WITH INSTRUCTIONS WILL RESULT IN YOUR APPLICATION NOT BEING CONSIDERED. When completing this application, answer all questions fully and truthfully. Use only the space provided for each question. Do not provide any information not specifically requested in this application. Do not reveal your gender, race, creed, union affiliation, age, color or national origin, as this information will not be used to evaluate your qualifications for employment.


Date: *


First Name: *


Middle Initial: *


Last Name: *


Street: *


City: *


State: *


Zip: *


E-mail: *


Home Phone # *


Cell Phone # *


Date of Birth: *


SSN # *


Have you ever applied with Hi-Tech before?	YesNo


If yes, what month and year?


Available for full-time permanent work?	YesNo


If not why?


Available for over-time?	YesNo


If not, what hours are you available?


Do you have reliable transportation?	YesNo


Can you legally drive?	YesNo


Are you legally eligible for employment in the U.S.?	YesNo

For driver’s license check only:


Date of Birth


Drivers License #


State


Would you be willing to be subjected to drug testing?	YesNo


Have you been convicted of a felony or misdemeanor?	YesNo


If YES, please explain:


Date available to start work


Pay Expected


Special training/skills (machine operation, office equipment, etc.):

Please grade yourself (A,B, or C) on the below trades you are capable of and provied the # of years experience you have along with Employers Name/Phone #:


Layout:


Frame - Metal/Wood:


Sheetrock - Over Metal/Wood:


Drywall Finish - Over Metal/Wood:


Suspended Acoustical Ceiling:


Blueprint Reading:


Dryvit, Lath & Plaster:


Have you ever worked for Hi-Tech before?	YesNo


If yes, date:


Referred By (Individual, newspaper, radio, etc.):

Please list your employment for the past three (3) years, beginning with the most recent.

Please Include: Company Name, Supervisor, Address and Phone #

Dates of Employment, Position, Responsibilities,

Wages at termination of employment $___/ Hr / Wk / Mo / Yr

Reason for leaving in the below boxs


Employment History 1:


Employment History 2:


Employment History 3:

PLEASE READ EACH OF THE FOLLOWING:

• Hi-Tech is committed to maintaining a drug-free and safe workplace. Therefore, we require that all employees undergo a post-offer Physical Capacity Profile examination and drug/alcohol screening.

Signing this application says that you understand and consent to these procedures if contacted for employment.

• By my signature below, I acknowledge that Hi-Tech has my permission to conduct a background check and/or contact past and present employers as part of their standard screening process.

• By my signature below, I certify that the information provided in this application for employment is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.


I agree to the above statement:	YesNo

Hitech Interiors