APPLICATION FOR EMPLOYMENT

(PRE-EMPLOYMENT QUESTIONNAIRE)     (AN EQUAL OPPORTUNITY EMPLOYER)
Date: 5/19/2012
Last Name:   First Name:  
Address:   Telephone:  
Email:  
What kind of work are you applying for?  
What special qualifications do you have?  

EDUCATION
SCHOOL *NO. OF YEARS
ATTENDED		 NAME OF SCHOOL CITY COURSE *DID YOU
GRADUATE?
 GRAMMAR
 HIGH
 COLLEGE
 OTHER
*The Age Discrimination in Empolyment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 years of age.

EXPERIENCE
NAME AND ADDRESS
OF COMPANY		 DATE LIST YOUR DUTIES STARTING
SALARY		 FINAL
SALARY		 REASON FOR
LEAVING
FROM TO

BUSINESS REFERENCES
NAME ADDRESS OCCUPATION


CARPENTRY EXPERIENCE

Tenant Improvements: Yrs Commercial: Yrs Residential: Yrs

Local Union:      How many years:
Do you have a High School Diploma or GED? Yes No
Do you have a Vocational Diploma? Yes No      Course:
Have you completed a State Approved Apprenticeship Program? Yes No
Are you currently enrolled in a State Approved Apprenticeship Program? Yes No
Do you have any restrictions which may prevent you from performing the duties of a carpenter? Yes No     If yes, identify the restrictions:
Do you have reliable transportation? Yes No
Are you willing to work overtime, nights and weekends, if needed? Yes No

Please rate your experience from 0-4 for each task.
(0 meaning no experience and 4 meaning highly skilled)
Blue Print Reading Door Closers
Layout Flush Bolts
Steel Stud Framing Door Coordinators
Wood Framing Panic Bar Devices
Drywall Custom Cabinetry Installation
Wood Door Frames Countertops Installation
Hollow Metal Door Frames Plastic Laminate
Altura/RACO Door Frames Acoustical Ceiling
Wood Door Casing Caulking
Wood Base Concrete Forming
Crown Molding Roofing
Door Hanging Decks
Hinge Templates Siding (Wood)
Lock Mortise Machine Siding (Aluminum)
Full Mortise Scaffolding

Other information about yourself:


This form has been designed to strictly comply with State and Federal fair employment practice laws prohibiting employment discrimination.