Education History
High School
College
Trade, Business, Correspondence School
Are You Employed Now?
Have you ever applied to this company before?
If Yes, When?
​Have you ever worked for this company before?
​How did you find out about us?
Reason For Leaving
Hours
First Name
Last Name
Present Address
Date
Phone Number
Alternate Number
Referred By
Personal Information
Employment Desired
Position
Date Available To Work
General Information
Subject of Special Training, Certifications, Licenses
Special Skills, Foreign Languages, etc.
Military Service Record
Have you ever served in the U.S. Armed Forces?
Branch Of Service
Enlistment Date
Rank
May we contact your employer?
List three professional references only.  (No personal references)
Professional References
How do you know them?
Address
Phone
Email Address
Can you work weekends?
Background Information
Have you ever been convicted of a felony offense?
Have you ever been convicted of a misdemeanor offense?
Do you have any pending misdemeanor or felony offense?
Have you ever been convicted of a driving offense?
Have you ever threatened or committed an act of violence or discrimination against a fellow employee, customer, or any other person?
If you answered yes to any of the above, please explain.
Drivers License No.
State
Exp. Date
Restrictions
Name
Authorization and Understanding Certification
Application for Employment
     PRE-EMPLOYMENT QUESTIONNAIRE  
            EQUAL OPPORTUNITY EMPLOYER
(Please initial in the space provided to the left of each statement)
I certify that the answers given by me to the questions contained in this application, and statements made by me, are complete and true to the best of my knowledge and belief. I understand that any false information, material omissions or misrepresentations of facts requested in this application may result in rejection of my application or termination at any time during employment.
I certify that am not a current user of illegal drugs.
I understand and acknowledge that, as a condition of my being offered employment and continued employment, I will submit upon request to such lawful examinations as my exist to test for the illegal use of drugs. 
I understand that I may not work under the influence of alcohol, drugs, chemicals, or other controlled substances. I also understand that I may be required to submit to examinations that test for such substance if I am involved in a work-related accident.
I agree to sign , as requirement of employment, a Release and Authorization Agreement and other document necessary to obtain consumer credit reports. I understand that these documents authorize the company and/or any of its agents, at any time before and during my employment, to conduct reference check, driver and criminal history checks and other consumer report investigation(s) considered necessary.
I understand that all offers of employment require satisfactory proof of my identity and legal authority to work in the United States. I also understand that an offer of employment is conditioned upon the company's receipt of satisfactory responses to references request and background checks.
If I am offered employment, I understand that I will be asked to complete a medical history questionnaire and/or other medical examination.
I Understand and agree that if offered employment by the company, and I accept the offer, I will become an "at-will" employee of the company. As an "at-will" employee, I will have the right to terminate my employment at any time for any reason, or for no reason, with or without advance notice.I further understand and agree that the company has the right to terminate my employment, with or without cause and with or without advance notice. I also understand that, if employed, my "at-will"employment status does not change unless the company president/owner, and I sign a written document that changes my employment status.
I understand and agree that employee handbooks, manuals, personnel policies, and procedures are not employment contract and do not change my status as an "at-will" employee.
PLEASE READ & ELECTRONICALLY SIGN
Handyman Elite will only consider this application for a ninety-day period after its receipt. Should you wish to be considered after the expiration of this period, you must reapply.
Applicant signature:
Interviewed by:
Date
Date
M.I.
If Yes, When?
Year Completed
Year Completed
Year Completed
Discharge Date
How long have they known you?
How do you know them?
Address
Phone
Name
How long have they known you?
How do you know them?
Address
Phone
Name
How long have they known you?
CA LIC. #1011406
YesNo
YesNo
YesNo
Full TimePart Time
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo
YesNo