Epoxy Floor Systems - Concrete coatings - Polyurea Polyaspartic Floor
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Online - Preliminary application Form
I. Personal Information
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Indicates required field
Date of application?
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Have you applied before?
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Yes
No
Have you worked here before?
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Yes
No
What languages do you speak?
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Name
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First
Last
Phone Number
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Are you over 18 years of age?
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Yes
No
If you’re under 18, do you have an employment certificate?
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Yes
No
Driver License?
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Yes
No
Do you have transportation?
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Yes
No
Select One
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SSN
TAX ID / EIN
WORK PERMIT
ITIN
OTHER
How Were You Referred To Us?
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Internet Search
Advertisment
Friend
Other
Have you ever been convicted of a criminal offense (felony or misdemeanor)? Note: An affirmative answer will not necessary result in disqualification for employment.
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Yes
No
If yes, please state nature of offense(s), date(s), city, state and disposition of the offense:
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II. Employment
Position applying for?
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Desired salary?
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What days are you available to work?
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Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
What hours are you available to work?
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Are you available for overtime if necessary?
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Yes
No
When are you available to begin work?
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III. Flooring Skills
Do you have any experience in the Flooring Industry like Hardwood floors, carpet, tile, concrete or any other skills in the Construction area?
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Yes
No
If Yes; Please tell us about.
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Do You have any experience or Work before in the Epoxy Industry?
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Yes
No
Training and Certifications?
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Please describe your background and experience in the Epoxy industry
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Are you able to operate flooring machines and tools?
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Yes
No
If Yes; please List them and any other machines you can operate:
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IV. Other Skills
Do you have any other knowledge, special skills and/or individual capabilities do you have which especially prepare you for the position applied for?
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Training and Certifications?
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V. Education
What is your highest level of completed education / Educational attainment?
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Any other Training or Certifications?
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VI. Employment History
Please account for all employment within the last seven (7) years, beginning with your current or more recent employer.
Position Held
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Company Name
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Company Address
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Company Telephone number
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Date Employed From to Finish?
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Job Tile or Position?
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Manager or Owner name?
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If this your current employer?
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Only If the applicant qualify; a formal application will be filled out after a preliminary online application / interview.
The application form may be filled out by the applicant personally or by an interviewer who records the applicant’s responses.
The information that you have provided on this application is accurate to the best of your knowledge.
You understand and agree to submit it.
Submit
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