First Name*
Last Name*
Desired Position*
Today's Date*
Date Format: MM slash DD slash YYYY
Email Address*
Phone Number*
Date Available
Date Format: MM slash DD slash YYYY
Desired Salary
Please enter a number greater than or equal to 0.
Are you over 18 years of age?*
- Yes
- No
Are you legally eligible for employment in the United States?*
(If offered employment, you will be required to provide documentation to verify eligibility.)
- Yes
- No
Do you have a valid driver's license?*
- Yes
- No
Type of license(s)
Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?*
- Yes
- No
Have you ever been convicted of a felony?*
- Yes
- No
Please explain:

When completing the employment history section, please list the most recent employer first, including U.S. Military Service.
Have you ever been employed by Storee Construction?*
- Yes
- No
Please state dates of employment
May we contact your present employer?*
- Yes
- No
If any employment was under a different name, indicate name
Employer 1
*Most Recent Employer
Employer Name*
Employer Address*
Phone Number*
Position/Title*
Date Employment Began*
Date Format: MM slash DD slash YYYY
Date Employment Ended*
Date Format: MM slash DD slash YYYY
Salary*
Supervisor*
Department*
Employment Type*
- Full-Time
- Part-Time
# of Hours/Week
Duties*
Reason for leaving position*
Employer 2
Employer Name*
Employer Address*
Phone Number*
Position/Title*
Date Employment Began*
Date Format: MM slash DD slash YYYY
Date Employment Ended*
Date Format: MM slash DD slash YYYY
Salary*
Supervisor*
Department*
Employment Type*
- Full-Time
- Part-Time
# of Hours/Week
Duties*
Reason for leaving position*

Do you wish to describe additional work experience?*
- Yes
- No
Employer 3
Employer Address
Employer Address
Phone Number
Position/Title
Date Employment Began
Date Format: MM slash DD slash YYYY
Date Employment Ended
Date Format: MM slash DD slash YYYY
Salary
Supervisor
Department
Employment Type
- Full-Time
- Part-Time
# of Hours/Week
Reason for leaving position*
Additional Work Detail
Other Experience
If you wish to describe additional work experience, upload a file with the above information for each position included.
Drop files here or

Accepted file types: pdf, doc, docx, txt, rtf.
Please explain any gaps in work history
Have you ever been discharged or asked to resign from a job?*
- Yes
- No
Please explain:

Please complete the four reference forms below, two professional and two personal.
Professional References
Name*
Phone*
Address*
Name*
Phone*
Address*
Personal References
Name*
Phone*
Address*
Name*
Phone*
Address*

Applicant Certification & Agreement
I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Storee Construction to verify their accuracy and to obtain reference information on my work performance. I hereby release Storee Construction from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I understand that any offer of employment will be subject to pre-employment screening including drug screening, background check screening, physical requirement testing, motor vehicle license review and other reports to determine my eligibility of employment for position sought.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of Storee Construction. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is at will and that either I or Storee Construction may terminate my employment at any time with or without notice or cause.
Signature*
By entering your name, you signify you have read and agree with the above statement.
Date*
Date Format: MM slash DD slash YYYY
Name
This field is for validation purposes and should be left unchanged.

Job Application

Step 1 of 6 - PERSONAL DETAILS

High School

College and/or Vocational School

Other Training or Degrees

Professional Licenses or Memberships

Employer 1

Employer 2

Employer 3

Additional Work Detail

Professional References

Personal References

Applicant Certification & Agreement