Application for Employment

Contact Information

Employee Name:

Street Address:

City, State, Zipcode:

Telephone Number:

Email:

General Information

Position Desired:

Salary Desired:

If hired, can you provide proof that you are eligible to work in the United States? Yes No

If hired, can you provide proof that you are over 18 years of age? Yes No

Education and Skills

High School

School Name:

School Address:

Major/Degree:

Graduate? Yes No

Graduation Date: (MM/YYYY)

College

School Name:

School Address:

Major/Degree:

Graduate? Yes No

Graduation Date: (MM/YYYY)

Graduate School

School Name:

School Address:

Major/Degree:

Graduate? Yes No

Graduation Date: (MM/YYYY)

Skills/Training/Awards

List any skills, training, awards, etc., including any educational, vocational, professional, military or other information that you wish to include which may be helpful during consideration of your application:

Employment History (Please list most recent employer first.)

Employer #1

Company Name:

Street Address:

City, State, Zipcode:

Telephone Number:

Supervisor Name:

Supervisor Title:

Position:

Start Date:

End Date:

Responsibilities:

Reason for leaving:

May we contact this employer? Yes No

Employer #2

Company Name:

Street Address:

City, State, Zipcode:

Telephone Number:

Supervisor Name:

Supervisor Title:

Position:

Start Date:

End Date:

Responsibilities:

Reason for leaving:

May we contact this employer? Yes No

Employer #3

Company Name:

Street Address:

City, State, Zipcode:

Telephone Number:

Supervisor Name:

Supervisor Title:

Position:

Start Date:

End Date:

Responsibilities:

Reason for leaving:

May we contact this employer? Yes No

References

Reference #1

Name:

Address:

Telephone Number:

Relationship:

Reference #2

Name:

Address:

Telephone Number:

Relationship:

Reference #3

Name:

Address:

Telephone Number:

Relationship:

Reference #4

Name:

Address:

Telephone Number:

Relationship:

Optional:

Race:

Gender: Male Female

Are you a veteran? Yes No

This application will become inactive one year from today. If you wish to remain in our active file, please update with this office.

Consistent with the provisions of the Americans with Disabilities Act (ADA) and the Maine Human Rights Act (MHRA), applicants may request accommodations needed to participate in the application process.

The Age Discrimination in Employment Act of 1967 prohibits discrimination on the basis of age with respect to individuals who are at least 40 but less than 70 years of age.

Buildings Etcetera is an equal opportunity employer dedicated to a policy of compliance with all federal, state, and local laws regarding nondiscrimination in employment. Applicant are considered for all positions without regard to race, color, religion, sex, ancestry or national origin, or veteran status. In addition, this company does not discriminate on the basis of physical or mental disability where the essential functions of the job, as reasonably accommodated, do not require such distinction. No question on this application is intended to secure information to be used for unlawful purposes.

By clicking submit, I authorize investigation of all statements contained in this application. I understand that misrepresentation or omission of facts called for is cause for dismissal. Furthermore, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages, be terminated at any time without previous notice.

If offered employment, I consent to a drug screening and a preplacement physcial examination by a health professional selected by Buildings Etcetera. I understand that any offer of employment is conditioned upon the results of this post-offer examination.

Please copy the text in the box below.

Thank you for applying for a position at Buildings Etcetera!

We will be reviewing applications and will reach out to you shortly.

Feel free to contact us via phone (207-532-9020) or email us at careers@buildingsetcetera.com should you have any questions or additional comments regarding this application.

Application for Employment

Contact Information

General Information

Education and Skills

High School

College

Graduate School

Skills/Training/Awards

Employment History (Please list most recent employer first.)

Employer #1

Employer #2

Employer #3

References

Reference #1

Reference #2

Reference #3

Reference #4

Optional:

Thank you for applying for a position at Buildings Etcetera!

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