First Name:

Last Name:

Position Applied For:

Address:

City:

State:

Zip

Home Phone:

Cell Phone:

Email Address:

Date Available:

Work Desired:

Full Time  Part Time  Seasonal

Desired hourly rate/salary:

Have you ever applied to Mandere Construction?:

Yes  No  

Have you ever been employed by Mandere Construction:

Yes  No

How did you hear about Mandere and/or position:

How many years experience do you have with carpentry?

WORK EXPERIENCE (start with most recent or present employment)

1) Current or most recent employment:

From:

To:

Employer:

Starting Pay:

Ending Pay:

Reason For Leaving:

2) Previous employment:

From:

To:

Employer:

Starting Pay:

Ending Pay:

Reason For Leaving:

3) Previous employment:

From:

To:

Employer:

Starting Pay:

Ending Pay:

Reason For Leaving:

Do you have any problems with steep roofs or heights?

Yes  No  

If yes, Please explain:

Do you have a valid drivers license?

Yes  No  

Do you have reliable transportation?

Yes  No  

How many days of work/school have you missed in the past year?

How many times have you been late for work/school in the past two years?

Additional Comments: