Employment Application Step 1 of 6 16% Personal InformationSocial Security Number Last Name* First Name* Phone*Email* Address* Street Address City State / Province / Region ZIP / Postal Code Education History - High SchoolName* Location* Grade completed/Degree earned* Education History - University/CollegeName Location Grade completed/Degree earned Education History - Other (Day/Night)Name Location Grade completed/Degree earned Present/Most Recent EmployerEmployer Address PhoneYour job title Job duties Salary Reason for leaving Employed from MM slash DD slash YYYY to MM slash DD slash YYYY Previous EmployerEmployer Address PhoneYour job title Job duties Salary Reason for leaving Employed from MM slash DD slash YYYY to MM slash DD slash YYYY Previous EmployerEmployer Address PhoneYour job title Job duties Salary Reason for leaving Employed from MM slash DD slash YYYY to MM slash DD slash YYYY Reference 1Please do not list relatives or former employeesName First Last Occupation PhoneReference 2Please do not list relatives or former employeesName First Last Occupation PhoneReference 3Please do not list relatives or former employeesName First Last Occupation Phone What type of transportation do you have? Are you over 18 years of age?*YesNoHave you ever worked for Circle Building Services, Inc.?YesNoDo you agree to provide Circle Building Services, Inc., with a current police report as a condition of employment?YesNoHave you ever been bonded?YesNoHave you been convicted of a crime in the past ten years, excluding misdemeanors and traffic violations?YesNo Date Available* MM slash DD slash YYYY Hours Available* Salary Expected* Position Applied For* Shift Desired* Day Night Afternoon Any Shift Shift Desired* Part-time Full-time The information provided on this application is accurate to the best of my knowledge and subject to verification by this company. I understand that proof of age may be required upon employment. I understand I must truthfully answer all the questions on this application. I also understand that if do not, I may be refused employment, or separated if I am a current company employee. I understand that I will be asked to provide Circle Building Services, Inc. with a current police report at time of employment and that I may be drug tested after employment. Continued employment will be based on the drug test results and police report. If employment results from this application, I understand that additional personal data or a physical examination may be required if I am eligible for benefits. I authorize all previous employers to furnish the Circle Building Services, Inc., with any information they may have regarding my employment and my reason for leaving, and I release my prior employers and this company from all the liability for and damage resulting from the information provided. I fully understand that I am not bondable by a surety company, this company may be unable to offer employment.Date of Submission* MM slash DD slash YYYY
