Application for Employment Last Name* Maiden Name First Name* Middle Name Address* City* State* Zip* If you are under 18 what is your date of birth? Phone Email Position you are seeking* How did you hear about us? Who referred you I am applying for* Full timePart timeTemp/SeasonalOn call Are you legally eligible to work in the united states? yesNo What are your availabilities for work? Monday - Friday 6:30am to 4:30pm Have you been convicted of a felony*? (A felony conviction is not necessarily a ban to employment. All circumstances will be considered) yesno If so, please explain Employment Record Please state your previous work history, beginning with your most recent experience May we contract your previous employers*? yesno Company Name Address Phone Supervisor Starting Date (yyyy-mm-dd) Ending Date (yyyy-mm-dd) Last Position Held Starting Pay Rate Ending Pay Rate Reason for Leaving Company Name Address Phone Supervisor Starting Date (yyyy-mm-dd) Ending Date (yyyy-mm-dd) Last Position Held Starting Pay Rate Ending Pay Rate Reason for Leaving Company Name Address Phone Supervisor Starting Date (yyyy-mm-dd) Ending Date (yyyy-mm-dd) Last Position Held Starting Pay Rate Ending Pay Rate Reason for Leaving Educational Background High School Address Did you graduate? yesno Still attending? yesno College / Trade School Major / Degree Address Did you graduate? yesno Still attending? yesno Military Service Branch Beginning of Active Duty (yyyy-mm-dd) End of Active Duty (yyyy-mm-dd) Training received Please list all relatives that work at Cohen Architectural Woodworking Have you previously been employed at Cohen Architectural Woodworking? If yes, under what name? References: 2 Professional and 2 Personal Reference Name Reference Address Phone Length of time known Relationship Reference Name Reference Address Phone Length of time known Relationship Reference Name Reference Address Phone Length of time known Relationship Reference Name Reference Address Phone Length of time known Relationship I hereby apply for employment with Cohen Architectural Woodworking, LLC. "CAW" I agree to conform to the rules, expectations, and regulations of CAW. I understand that CAW or I may terminate my employment at any time, with or without notice, for any reason. I hereby authorize CAW to make inquiry of all persons, schools, companies, credit bureaus, consumer reporting agencies, and law enforcement agencies to supply all information concerning me and to furnish reports and documents to CAW about me. I hereby release them and CAW from any and all liability and responsibility by reason of their doing so. CAW is an Equal Opportunity Employer. Federal, state, and/or local law prohibits unlawful discrimination in employment practices because of race, color religion, age, national origin, veteran status, disability, or any classification protected by law. No question on the application is asked for the purpose of limiting or excluding any applicant's consideration for employment because of his or her race, color, religion, sex, age, national origin, veteran status, disability, or any other classification protected by law. Note: Any false statements made in this application will be considered sufficient cause for dismissal upon discovery thereof. In compliance with the Immigration Reform and control Act of 1986, CAW will hire only U.S. citizens and aliens lawfully authorized to work in the U.S. Prior to beginning employment, all new employees will be required to complete Form I-9 Employment Eligibility Verification. I hereby acknowledge that the information provided on this Employment Application is true and correct. Δ
