Referred By? (optional)
Valid Drivers License?*
Preferred Start Date
Are You Currently Employed*
If Yes, Where?
Are You 18 Years Or Older?*
Have You Ever Worked For This Company Before?*
If Yes, Where And When?
Can You Work Out Of Town In Either Of These Locations?
N. CaliforniaLas VegasI cannot work out of town
Do You Have A Complete Set Of Hand Tools?*
Do You Have Work Experience In Any Of These Areas?
If Yes To Any Of The Above, Please List The Name Of The Job, Years You Spent There, And Your Level Of Expertise In The Area (From 1-10).
Please List Any Other Work Experience With The Name Of The Job, Years You Spent There, And Your Level Of Expertise In The Area (From 1-10).*
Subjects Of Special Study/Research
Work Or Special Training/Skills
US Military Or Naval Service?*
If Yes, Rank?
Please List Below Your Last Four Employers, Starting With The Last One First. Please Include The Name And Address Of The Former Employer, The Time You Were There (ex. 07/2012 - 08/2019), Your Position, And Your Reason For Leaving.*
Give Below The Names Of Three Persons (Not Related To You), Whom You Have Known At Least One Year. Please Include Their Name, Address, Business, Phone Number, And Years Known.*
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand
that, if employed, falsified statements on this application shall be grounds for dismissal.
I authorize investigation of all statements contained herein and the references and employers listed above to give you any
and all information concerning my previous employment and any pertinent information they may have, personal or
otherwise, and release the company from all liability for any damage that may result from utilization of such information.
I also understand and agree that no representative of the company has any authority to enter into any agreement for
employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing
and signed by an authorized company representative.
This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the
Americans with Disabilities Act (ADA) and other relevant federal and state laws."