Employment Application

 
General Information
Name *
Name
Address *
Address
Phone *
Phone
Employment Availability
When are you available to start? *
When are you available to start?
Background
Are you a citizen of the United States? *
If you are not a citizen, are you authorized to work in the US?
Have you ever worked for this company before? *
Have you ever been convicted of a crime in the past 10 years, excluding misdemeanors and summary offenses? *
Education
Start Date *
Start Date
Completion Date *
Completion Date
Did you graduate? *
Start Date
Start Date
Completion Date
Completion Date
Did you graduate?
References
Reference 1 Name *
Reference 1 Name
Reference 1 Phone *
Reference 1 Phone
Reference 2 Name *
Reference 2 Name
Reference 2 Phone *
Reference 2 Phone
Reference 3 Name *
Reference 3 Name
Reference 3 Phone *
Reference 3 Phone
Previous Employment
Supervisor
Supervisor
Phone
Phone
$
$
May we contact your previous supervisor for reference? *
Supervisor
Supervisor
Phone
Phone
$
$
May we contact your previous employer? *
Applicant Questionnaire
Do you have a valid driver's license? *
Modular Interiors is a drug-free workplace. Are you able to pass a drug test? *
Do you own your tools, i.e. cordless drill and miscellaneous hand tools? *
Our typical works schedule is Monday - Friday 6:30 am - 3:30 pm. Are you able to work overtime, evenings and / or weekends, and available to go out of town? *
Do you have reliable transportation? *
Disclaimer and Signature
Signature *
Signature
I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I understand that Modular Interiors, Inc. is a drug-free workplace and I agree to comply. By typing your full name, you agree to the above disclaimer.
Date *
Date