1Personal Info

2Employment Info

3Education Info

4Terms & Conditions

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

In case of emergency, notify:

Name

Relationship

Phone

How did you hear about us?(Required)

A friend or relative

Indeed, Ziprecruiter, Etc

Through our website

Other

What friend or relative referred you?

Are you at least 18 years old?(Required)

Yes

Do you have reliable transportation?(Required)

Yes

Do you have a valid Driver's License?(Required)

Yes

Are you legally eligible for employment in the United States?(Required)

Yes

Have you been convicted of a felony or misdemeanor within the last 10 years?(Required)

Yes

If yes, please explain:(Required)

Please include details on what the conviction was along with when the conviction took place.

Disclaimer:(Required)

I understand that I will not be denied employment solely because of a conviction record unless the offense is related to the job for which I am applying.

Employment Information

Salary Desired(Required)

Which do you prefer?

Full-time

Part-time

If offered employment, when would you be available to begin work?(Required)

MM slash DD slash YYYY

List any skills that may be useful for the job you are seeking. Please include how many years of experience you have with that skill.

Please press the "+" button to add more skills.

Are you able to perform the essential functions of the job position you seek?(Required)

I am able to complete the essential functions of the job position.

I am able to complete the essential functions of the job position with reasonable accommodations.

Please explain:(Required)

Current Employment

Are you currently employed?(Required)

Yes

If yes, where?(Required)

May we inquire of your present employer?(Required)

Yes

References

Work References(Required)

Name of Employer

Address

Job Title

Reason Left

Dates of Employment

List your current or most recent employment first. Please list all jobs which you have held (Please press the "+" button to add more references).

Personal References(Required)

Name

Address

Relationship

Phone

List at least two non-relatives who would be willing to provide a reference for you (Please press the "+" button to add more references).

Education Info

List your schools:(Required)

School

Location

Years Attended

Did you Graduate?

Please list any high school, college, or technical schools you have attended. Press the "+" button to add more.

List your Degrees and Certifications

Have you ever served in the Military?(Required)

Yes

Which branch?

Please list any specialized training you received:

Please provide any other info that you believe should be considered, including whether you are bound by any agreement with any current employer:

Certification(Required)

I agree

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Cypress Door & Glass LLC to contact former employers and educational organizations regarding my employment and education. I authorize my former employers and educational organizations to fully and freely communicate information regarding my previous employment, attendance, and grades. I authorize those persons designated as references to fully and freely communicate information regarding my previous employment and education.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its Owner, the employment relationship will be "at-will". In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the same rights. Moreover, no agent, representative, or employee of Cypress Door & Glass LLC, except in a specific written contract of employment signed on behalf of the organization by its Owner, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.

Date(Required)

MM slash DD slash YYYY

Signature(Required)

Apply

Employee Application

Employment Information

Current Employment

References

Education Info