Apply Online - Life Deck Coating Installations

Employment Application

Applicant Information

Full Name *

Street Address *

City *

State, Zip Code *

Phone *

Email *

Date Available

Position Applied for: *

What position are you applying for?

Are you a U.S. Citizen? *

If no, are you authorized to work in the U.S.?

Have you worked for this company in the past? *

If Yes, when?

Education

High School you attended *

Did you Graduate?

Did you attend College/ University? *

Did you Graduate?

If you received a degree, in what field?

References

Reference 1

Full Name: *

Relationship: *

Company: *

Phone

Reference 2

Full Name: *

Relationship: *

Company: *

Phone:

Reference 3

Full Name: *

Relationship: *

Company: *

Phone:

Previous Employment

Most Current Job

Company *

Start Date to End Date

Example: 5/1/2017 to 6/1/2021

Job Title *

Phone *

Supervisor *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Responsibilities at the Job *

Reason for Leaving *

May we contact your previous supervisor for reference

Additional Job History

Company

Start Date to End Date

Example: 5/1/2017 to 6/1/2021

Job Title

Phone

Supervisor

Address

Address Line 1

Address Line 2

City

State

Zip Code

Responsibilities at the Job

Reason for Leaving

May we contact your previous supervisor for reference

Additional Job History

Company

Start Date to End Date

Example: 5/1/2017 to 6/1/2021

Job Title

Phone

Supervisor

Address

Address Line 1

Address Line 2

City

State

Zip Code

Responsibilities at the Job

Reason for Leaving

May we contact your previous supervisor for reference

Military Service

Branch

Start Date and To Date

Example: 4/1/2018 to 6/1/2021

Rank at Discharge

Type of Discharge

If other than honorable, please explain

Favorite Activities/ Hobbies/ Special Skills

Professional Memberships, apprenticeships, certificates or licenses held

Hobbies

Special Skills

Computer, language, and / or type of machine operation with years of experience

Please Read Carefully and check "agreed" below and initial as your digital signature. I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I give the Company the right to make a thorough investigation of my past employment, education, financial background, and activities. I release all persons or entities from all liability for any damage that may result from furnishing information to the Company. I also release the Company and all of its employees from all liability for any damage that may result from the Company’s reliance on the information furnished. I understand that my employment may be contingent upon receipt of an alien registration number, verification of birth, driving record and any other pertinent information bearing upon my employment, and that my continued employment depends upon the will of the company or myself. In consideration of my employment, I agree to conform to the Company’s policies, rules and regulations. I understand and agree that my employment is at-will, and therefore, my employment and compensation can terminate, with or without cause, and with or without notice, at any time, at my option or the Company’s option. I further understand and agree that this at-will employment relationship as defined above will remain in effect throughout my employment with the Company, or any of its parent or affiliated companies, unless it is modified by a specific, express written employment contract which is signed by the President of the Company and me. This represents an integrated policy with respect to the at-will nature of the employment relationship.

Agree to the Disclaimer
I disagree and choose not to move forward

Type in your name as Digital Signature

Date / Time

Date

Time