Name
*
First Name
Last Name
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Email
*
Are you 18 years of age or older?
*
Yes
No
Position You Are Applying For
*
Loading Dock & Door Technician
Wheel Chair Lift & VRC Technician
Outside Sales Representative
Date You Can Start
*
MM
DD
YYYY
Are you currently employed?
*
Yes
No
Please list your current employers name and address.
*
If not employed at the moment, please write currently not employed in the box.
Do you have any of the following?
*
Please check all that apply:
Valid California Driver License
Current CCCM License
Welding Experience
Electrical Experience
Fluent in English
Bi-Lingual in English & Spanish
OSHA 10 or 30 Certification
Forklift or Scissor Lift Operator's Certification
Type Minimum of 35wpm
Microsoft Office Experience, Including Word, Excel, Access & Outlook
Customer Service Experience
Did you complete any of the following?
*
Please check all that apply.
High School Diploma or GED
College
Trade or Business School
Please list your degrees:
Former Employer #1
*
Include the Following:
-Name & Address of Former Employer
-Start & End Dates
-Salary (Upon Leaving)
-Job Position
-Reason For Leaving
Former Employer #2
*
Include the Following:
-Name & Address of Former Employer
-Start & End Dates
-Salary (Upon Leaving)
-Job Position
-Reason For Leaving
Former Employer #3
*
Include the Following:
-Name & Address of Former Employer
-Start & End Dates
-Salary (Upon Leaving)
-Job Position
-Reason For Leaving
Reference #1
*
Include Name, Address, Phone Number & Number of Years Acquainted
Reference #2
*
Include Name, Address, Phone Number & Number of Years Acquainted
Reference #3
*
Include Name, Address, Phone Number & Number of Years Acquainted
Tell Us About Yourself!
*
Is there anything you wish to tell us about yourself? Have you worked in the construction industry before? List any special skills you have acquired. Or special interests you have.