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3D Floorscapes is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.
Please fill out all of the information below.
First Name*
Last Name*
Address*
City*
State*
Zip Code*
Phone Number*
Email*
Date of Application*
Position Applying for*
How did you hear about this position?
What days are you available for work?*
If needed, are you available to work overtime?*
On what date can you start working if you are hired?*
Do you have reliable transportation to and from work?*YesNo
Salary desired*
Are you 18 years of age or older?*YesNo
Are you a U.S. citizen or approved to work in the United States?*YesNo
What document can you provide as proof of citizenship or legal status?*
Will you consent to a mandatory controlled substance test?*YesNo
Do you have any conditions which would require job accommodations?*YesNo
If yes, please describe accommodations required below.
Have you ever been convicted of a criminal offense (felony or misdemeanor)?*YesNo
If yes, please state the nature of the crime(s), when and where convicted and disposition of the case.
Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.
Please list below the skills and qualifications you possess for the position for which you are applying
Note: 3D Floorscapes complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions.
Name*
Location (City, State)*
Year Graduated*
Degree Earned
Name
Location (City, State)
Year Graduated
Are you a member of the Armed Services?*YesNo
What branch of the military did you enlist?
What was your military rank when discharged?
How many years did you serve in the military?
What military skills do you possess that would be an asset for this position?
Employer Name*
Job Title
Supervisor Name*
Employer Address
City
State
Zip Code
Employer Phone*
Dates Employed*
Reason For Leaving*
Please provide 3 personal and professional references below.
Contact Information
How do you handle someone being in authority over you?*
What is your work ethic?*
Please describe yourself on and off the job.*
What are your hobbies? What do you love to do?*
The relationship between you and 3D Floorscapes is referred to as “employment at will”. This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or 3D Floorscapes. No representative of 3D Floorscapes has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will”, and that you can acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either out Executive Vice-President/Chief Operations Officer of the Company’s President
Applicant Signature*
Date*
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