S3 BUILDING SOLUTIONS, LLC
Employment Application
APPLICANT INFORMATION
Last Name
First
M.I.
Street Address
Date
Apartment/Unit #
City
State
Phone
E-mail Address
Date Available
ZIP
Social Security No.
Desired Rate
Position Applied for
Do you have previous experience?
YES
NO
If yes, number of years of experience:
Do you have current/valid drivers license?
YES
NO
Do you have reliable vehicle available daily?
YES
NO
Are you a citizen of the United States?
YES
NO
If no, are you authorized to work in the U.S.?
YES
NO
Have you ever been convicted of a felony?
YES
NO
If yes, explain
EDUCATION
High School
From
Address
To
Did you graduate?
College
From
NO
Degree
NO
Degree
NO
Degree
Address
To
Did you graduate?
Other
From
YES
YES
Address
To
Did you graduate?
YES
REFERENCES
Please list two professional references.
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
Full Name
Relationship
Company
Phone
Address
CURRENT/PREVIOUS EMPLOYMENT
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Ending Salary
$
Ending Salary
$
Ending Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Company
Phone
Address
Supervisor
Job Title
Starting Salary
$
Responsibilities
From
To
Reason for Leaving
May we contact your previous supervisor for a reference?
YES
NO
Over the last 10 years, how many employers have you worked for?
MILITARY SERVICE
Branch
From
Rank at Discharge
Type of Discharge
If other than honorable, explain
To
TRADE SPECIFIC QUESTIONS
How far are you willing to travel for work on a daily basis?
Do you have the ability to accurately read & interpret drawings/prints?
YES
NO
Are you capable of layout work?
YES
NO
Do you have experience running a masonry crew?
YES
NO
YES
NO
YES
NO
If yes, is this something you see yourself doing in the future?
Do you consider yourself a team player?
If yes, describe a time when you were part of a team and the role you played on that team?
What would you consider your strengths in the trade? (i.e. brick, block, stone, concrete, production, accuracy, leads, etc.)
Are you capable of the physical requirement associated with the masonry trade? (I.e. lifting heavy objects
repeatedly, climbing scaffold/ladders, working in varied weather conditions, etc.)
YES
NO
Do you have any safety endorsements or certifications? (I.e. Osha 10, Osha 30, Forklift certifcations, etc.)
YES
NO
If yes, please describe:
DISCLAIMER AND 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.
Signature
Date