Application for Installers

Full Name

Current Address

Phone Number

Email Address

Drivers License Number and State

Date You Can Start

Salary Desired

Any special skills or training?

If so, may we contact your current employer?
YesNo

Are you employed now?
YesNo

Resume

Cover Letter

Employment History

Most Recent

Name of Previous Employer

Address

Phone Number

Start Date:

Leaving Date

Job Title

Starting Salary:

Ending Salary

Name of Supervisor

Phone Number

Description of Work Preformed:

Reason for Leaving

May we contact your supervisor?
YesNo

Jobs 1

Name of Previous Employer

Address

Phone Number

Start Date:

Leaving Date

Job Title

Starting Salary:

Ending Salary

Name of Supervisor

Phone Number

Description of Work Preformed:

Reason for Leaving

May we contact your supervisor?
YesNo

Jobs 2

Name of Previous Employer

Address

Phone Number

Start Date:

Leaving Date

Job Title

Starting Salary:

Ending Salary

Name of Supervisor

Phone Number

Description of Work Preformed:

Reason for Leaving

May we contact your supervisor?
YesNo

Jobs 3

Name of Previous Employer

Address

Phone Number

Start Date:

Leaving Date

Job Title

Starting Salary:

Ending Salary

Name of Supervisor

Phone Number

Description of Work Preformed:

Reason for Leaving

May we contact your supervisor?
YesNo

References

Reference 1

Full Name

Address

Phone Number

Years Known

Reference 2

Full Name

Address

Phone Number

Years Known

Reference 3

Full Name

Address

Phone Number

Years Known

Agreement

I certify that the information contained in this application is true to the best of my knowledge and understand that, if employed, any falsified statements on this application shall be grounds for termination.

I authorize investigation of all statements contained herein and the references and employers listed above to you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

Signature

Date Signed