Levett Mechanical
Full Name
Email Address
Address
City
State
Zip
Phone
Date of Birth
Yes No
Social Security Number
No Yes
Please Describe
Position
Salary Desired
Date available to start
When/Where?
Are you currently employed?
Name And Location
Subjects Studied
Years Completed
Date Graduated
Name
Phone Number
Month Jan Feb Mar Apr Jun Jul Aug Sept Oct Nov Dec Year
Salary
Reason For Leaving
Relationship to you
Affiliated Business
Years Acquainted
Describe your ability to follow directions and tell what you would do in a situation when you did not understand what was expected of you.
Why are you interested in this field of work?
Do your future plans include developing a career in this line of work? Why or why not?
What do you feel is your greatest strength as an employee?
What do you feel is your greatest weakness as an employee?
Rate yourself on each of the following:
Punctuality 1 - Poor 2 - Fair 3 - Satisfactory 4 - Good 5 - Excellent
Dependability 1 - Poor 2 - Fair 3 - Satisfactory 4 - Good 5 - Excellent
Listening Skills 1 - Poor 2 - Fair 3 - Satisfactory 4 - Good 5 - Excellent
Communication Skills 1 - Poor 2 - Fair 3 - Satisfactory 4 - Good 5 - Excellent
Quality of Work 1 - Poor 2 - Fair 3 - Satisfactory 4 - Good 5 - Excellent
Scaffolding/Working when heights are involved 1 - Poor 2 - Fair 3 - Satisfactory 4 - Good 5 - Excellent
Reading prints/specs 1 - Poor 2 - Fair 3 - Satisfactory 4 - Good 5 - Excellent
Operating Machinery (e.g., backhoe, excavator) 1 - Poor 2 - Fair 3 - Satisfactory 4 - Good 5 - Excellent
Ability to reside out-of-town with co-workers 1 - Poor 2 - Fair 3 - Satisfactory 4 - Good 5 - Excellent
Upkeep of job site, job "shack," and rental properties 1 - Poor 2 - Fair 3 - Satisfactory 4 - Good 5 - Excellent
Referred by
The information provided in this Application for Employment and its addendum is true, correct and complete. False, incomplete or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.
I authorize the employer to contact and obtain information about me from previous employers, educational institutions and "references" I provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume or a personal interview. To assist in the processing of my Application, I waive all rights and claims I may otherwise have against the employer or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.
This application will expire in 30 days. After that date, unless otherwise notified, I understand that my status as an applicant will end. I may re-apply for employment in the future by completing a new application.
This application is not an employment agreement. If I accept an offer of employment, I understand the employer may terminate my employment at any time, with or without cause and without prior notice, unless required by law. I understand that no one, other than an executive officer of the employer, has authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such officer.
I FULLY UNDERSTAND AND ACCEPT ALL TERMS AND CONDITIONS IN THE ABOVE STATEMENT.
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