First Name
Middle Name
Last Name
Email
Phone
Street Address
City, State Zip
Desired Position
Date Available
How did you hear about us?
Desired Salary
Are you currently employed?
YesNo
Can you read a tape measure to 1/16?
YesNo
What days are you not able to work?
Are you able to perform the essential functions of the position you are applying for and can you repeatedly lift 50 pounds with or without reasonable accommodation?
YesNo
Are you legally eligible to work in the US?(Proof of eligibility is required upon employment)?
YesNo
Have you worked for this company before?
YesNo
If yes, when?
Have you ever been convicted or subject to deferred adjudication on a felony charge?
YesNo
If yes, explain:
Education-Skills-Certifications
College name and address
Dates attended:
Did you graduate?
YesNo
Degree obtained
Other school or training and address:
Dates attended:
Did you graduate?
YesNo
Degree obtained
Specific skills and training from employment or other experiences, related to the position for which you are applying (e.g. tools and machines used, computer skills, languages, etc.)
Professional license(s) and certification(s) related to the position you are applying for, including the state in which it was issued:
Military Service
Branch:
Dates Served:
Type of Discharge:
If other than honorable, please explain:
Please list three professional references
Reference 1 Full Name:
Relationship:
Company:
Phone:
Years known:
_______________________________________________________________________________________________________
Reference 2 Full Name:
Relationship:
Company:
Phone:
Years known:
_______________________________________________________________________________________________________
Reference 3 Full Name:
Relationship:
Company:
Phone:
Years known:
Previous Employment
Company 1:
Phone:
Street address, city, state, zip:
Supervisor:
Job title:
Starting salary:
Ending salary:
Work performed:
Dates worked:
Reason for leaving:
May we contact your previous employer for a reference?
YesNo
_______________________________________________________________________________________________________
Company 2:
Phone:
Street address, city, state, zip:
Supervisor:
Job title:
Starting salary:
Ending salary:
Work performed:
Dates worked:
Reason for leaving:
May we contact your previous employer for a reference?
YesNo
_______________________________________________________________________________________________________
Company 3:
Phone:
Street address, city, state, zip:
Supervisor:
Job title:
Starting salary:
Ending salary:
Work performed:
Dates worked:
Reason for leaving:
May we contact your previous employer for a reference?
YesNo
_______________________________________________________________________________________________________
Disclaimer and Signature
PLEASE READ THE FOLLOWING AND SIGN THE APPLICATION IN THE SPACE PROVIDED BELOW. IF YOU HAVE ANY QUESTIONS, PLEASE TALK TO A HUMAN RESOURCES REPRESENTATIVE BEFORE SIGNING.
I understand employment with Cabinet Specialists is “at will”. This means the employment relationship can be ended by me or Cabinet Specialists at any time with or without advance notice or cause. It also means Cabinet Specialists may revise and make exceptions to its policies, practices, handbooks, manuals, rules, procedures and regulations, in whole or in part, at any time. I further understand acceptance of an offer of employment does not create a contractual obligation upon Cabinet Specialists to continue to employ me in the future or for any specific term. Notwithstanding the above, I understand that no representative of Cabinet Specialists except the owner has any authority to enter into any agreement of employment for a definite term. Any such agreement must be in writing and signed by the company’s owner.
If employed by Cabinet Specialists I agree to comply with all safety and health rules, company policies and procedures, and local, state, and federal laws pertaining to my employment. Although management makes every effort to accommodate individual preferences, organizational needs may make the following conditions mandatory: overtime, rotating work schedule, or a work schedule other than Monday through Friday or normal business hours. I understand and accept these as conditions to my employment should I be hired.
I have reviewed this application carefully and I hereby affirm that my statements and answers to all questions on this application are true and correct and I have not knowingly withheld any fact or circumstance that, if disclosed, would affect my application unfavorably. I understand that any misstatement or omission of fact on this application may result in my applications not being considered, and, if employed, may result in my immediate dismissal.
I HAVE READ AND AGREE TO THE ABOVE TERMS AND CONDITIONS and I consent to having Cabinet Specialists collect the personal information I entered into the form above and I give Cabinet Specialists permission to store and use this information for future correspondence in line with their Privacy Policy (link below).
YesNo
Digital Signature (required):
Signature Date (required):
Print Name (required):
Your Message
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