Clone of Simple Job Application Form

SCHAEFER MECHANICAL SERVICES, INC. APPLICATION FOR EMPLOYMENT (Equal opportunity Employer)

Please complete the form below to apply for a position with us. Note: you must click SUBMIT and the bottom of this form to apply.
Helpful hints: You can use the Tab key to select the next question without needing the mouse. Holding Shift than hitting Tab will go to the previous question. Up and Down arrows will select yes or no buttons, than the space bar will fill in the circle. Up and Down arrows are also good for drop down menus.
Full Name*

First NameMiddle NameLast Name
Current Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email Address
Phone Number*

Area CodePhone Number
Social Security #
Birth Date*

MonthDayYear
Expected Salary $ Per hour*
Start date*

MonthDayYear
If employed and under 18, can you furnish a work permit?

YesNo
Have you ever applied for or been employed by this company?*

YesNo
Are you employed now?*

YesNo
May we contact your present employer?*

YesNo
If yes, give name:
Are you prevented from lawfully becoming employed in this county because of Visa or Immigration status?*

YesNo
Do you have transportation to get to the jobsites?*

YesNo
If applying for a position where driving is required - Do you have a valid drivers license in this state?*

YesNo
Please provide a copy of current driving record. Note: use the choose file button to select a file to send from your computer

Upload a File

Cancelof
Drivers License Information (State and Number):
Plumbing License: Apprentice/Journeyperson/Master Lic. No. & State*
Can you perform the essential functions of the job(s) for which you are applying?*

YesNo
Are you available to work*
Have you been convicted of a felony? (Please note a "Yes" answer will not bar you from consideration for employment.)*

YesNo
If yes please explain:
This company is an equal opportunity employer. All applicants will be considered without regard to age, color, national origin, religion, disability, sex, or other protected status in accordance with applicable federal and state employment laws. This company will strive to accommodate any physical or mental limitations of employees or applicants in order to accomplish the essential functions of the job.
EDUCATION - Highest grade completed.*
SPECIAL SKILLS, QUALIFICATIONS AND CONSIDERATIONS Summarize special skills and qualifications, volunteer activities, military experience, employment or other activities related to the job you are seeking:

REFERENCES List three (3) non-relatives who are familiar with your qualifications and actual work history and ability.*

	Name	Occupation/Relationship	Years Know	Phone Number
1
2
3

EMPLOYMENT EXPERIENCE
NOTE: The (SUBMIT BUTTON) is at the very bottom of this page, you must click it to submit your application
Employer
Supervisor's Name
Address
Your Job Postion
Phone Number
Employed from

MonthDayYear
Employed to

MonthDayYear
Your Salary: Start/Ending
Duties
What did you like most about your job?
Reason for Leaving:
#2
Employer
Supervisor's Name
Address
Your Job Postion
Phone Number
Employed from

MonthDayYear
Employed to

MonthDayYear
Your Salary: Start/Ending
Duties
What did you like most about your job?
Reason for Leaving:
#3
Employer
Supervisor's Name
Address
Your Job Postion
Phone Number
Employed from

MonthDayYear
Employed to

MonthDayYear
Your Salary: Start/Ending
Duties
What did you like most about your job?
Reason for Leaving:
#4
Employer
Supervisor's Name
Address
Your Job Postion
Phone Number
Employed from

MonthDayYear
Employed to

MonthDayYear
Your Salary: Start/Ending
Duties
What did you like most about your job?
Reason for Leaving:
#5
Employer
Supervisor's Name
Address
Your Job Postion
Phone Number
Employed from

MonthDayYear
Employed to

MonthDayYear
Your Salary: Start/Ending
Duties
What did you like most about your job?
Reason for Leaving:
Attach a Resume (not required) Note: use the choose file button to select a file to send from your computer

Upload a File

Cancelof
Should be Empty:

SCHAEFER MECHANICAL SERVICES, INC. APPLICATION FOR EMPLOYMENT (Equal opportunity Employer)

EMPLOYMENT EXPERIENCE

NOTE: The (SUBMIT BUTTON) is at the very bottom of this page, you must click it to submit your application