Job Application | GSI-Scaffolding

Job Application

Fields marked with an asterisk (*) must be filled out before submitting.

Personal Details

Last Name *
First Name *
Middle Initial

Contact Info & Availability

Address *
City *
State *
Zip
How long have you been at this address?
Telephone *
If under 18 please list age
Position Applied For
Salary Desired
Days Available For Work
How many hours can you work?
Can you work nights?	Yes No
Employment Desired	Full-Time Only Part-Time Only Full or Part-Time
Date available for work?

Education

Do you have a degree?	Yes No
Where did you complete your degree?
Title of your degree
Please detail other education your feel is important
Have you ever been convicted of a crime? *	Yes No
If yes, please explain

Other Information

Do you have a driver\’s license?	Yes No
What is your means of transportation to work?
Type of driver\’s license	Operator Commercial Chauffer
Have you had any accidents in the last 3 years?	Yes No
If Yes, how many?
Have you had any moving violations in the past 3 years?	Yes No
If Yes, how many?
Typing Skills	Yes No
WPM?
10 Key?	Yes No
KSPM?
Please list computer programs you are proficient in
Have you ever been in the armed forces?	Yes No
Are you a member of the National Guard?	Yes No
Please List 2 references other then relative or previous employers and include how you know them and their contact information

Previous Employment

Name of Last Employer
Supervisor
Address
Dates worked from
Phone
Pay or Salary Start
Pay or Salary Final
Your title and duties
Reason for leaving
May we contact the employer?	Yes No
Other employment you think is important