First Name Last Name Email* Address Address Line 2 City State Zip Code How long have you lived at this address? Phone Are you over 18? YesNo Will you work overtime when requested? YesNo Have you previously been employed by Trails West? YesNo If so, when? Who referred you to work at Trails West?
(Present or last employer)
Job Title Company Phone Company Name & Address Supervisor Name at Company Dates Employed at Company Nature of Work at Company Reason for Leaving Company Voluntary QuitDischargedLayoff Starting Wage at Company Ending Wage at Company
Job Title on Last Day Company Name and Address Dates Employed
Can you read a tape measure? YesNo Can you read simple blueprints or shop drawings? YesNo What kind of hand and power tools have you used? What kind of machines and shop equipment have you operated? What kind of construction and/or assembly skills do you possess?
Highest Year Completed Elementary 1Elementary 2Elementary 3Elementary 4Elementary 5Elementary 6Elementary 7Elementary 8High School 9High School 10High School 11High School 12College 1College 2College 3College 4 Name and Address of High School
Do you have any disability, handicap or medical condition which might limit your ability to perform the work for which you are applying? YesNo If yes, what can be done to accommodate your limitation? Have you ever been convicted of a crime other than a routine traffic violation? YesNo If yes, please explain: Are you willing to submit to a drug test as a condition of employment? YesNo Emergency Contact Name: Emergency Contact Number:
We reserve the right to conduct drug testing on a random basis.
I hereby certify the above statements are true and authorize the company to investigate all information on this application. The companies, schools and persons named herein may give information regarding me and I hereby release them from all liability for doing so. I understand that false or misleading statements are cause for disqualification of my application or dismissal if employed. I also understand that completion of this application form does not indicate positions are open or obligate the company in any way. I understand that if employed, it is not guaranteed for any definite time period and may be terminated at any time by the employer or by myself with or without cause.
Please type your name to state that you comply with the above statement.*
Note to applicant: This application will be active for one hundred-eighty (180) days from date of submission. For employment consideration after such date, another application will be required.
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