PERSONAL INFORMATION |
Last Name: * |
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First Name: * |
Middle:
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Today's Date: |
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Social Security #: |
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Street Address: |
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City: |
State:
Zip:
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Phone Numbers: * |
Home:
Work:
Cell:
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Email Address: |
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EMPLOYMENT INFORMATION |
Position applied for: |
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Referred by: If other, please specify name: |
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Are you over 18 years of age? |
If NO, a work permit is required.
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To the best of your knowledge, are you legally eligible to work permanently in the United States? |
Should you be hired, you will be required by law to provide documents verifying your employment eligibility.
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Date you are available to start work: |
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Have you ever applied for work with us before? |
YES
NO
If YES, enter date:
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Were you ever employed
by us before? |
YES
NO
If YES, enter date:
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Are you applying for full time employment? |
YES
NO
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If hired by R.L. Reppert, Inc. you will be required to work
8 (eight) hours per day (normally 7am to 3:30 pm), 5 (five) days per week. Can you meet this requirement? |
YES
NO
If NO, please explain:
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Can you work overtime
if necessary? |
YES
NO
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Can you work off-hours
if necessary?
(Start time after 5:00pm) |
YES
NO
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Can you work out of town
if necessary? |
YES
NO
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Are you employed at the present time? |
YES
NO
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Do you have any relatives now employed by this company? |
YES
NO
If YES, please list name(s):
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Do you have a disability which would limit or prohibit you from performing this work for which you have applied? |
YES
NO
If YES, please explain:
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Have you been convicted of a felony within the last 7 years? |
YES
NO
If YES, please describe (a conviction does not necessarily disqualify an applicant for the position being applied for):
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Do you have reliable transportation in order to get to a job within a 100 mile radius of the Lehigh Valley? |
YES
NO
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Do you have a valid driver's license? |
YES
NO
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SPECIAL QUALIFICATIONS OR SKILLS |
Use this space to describe any special qualifications or skills you have acquired through special training, prior employment or general experience. |
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EXPERIENCE |
Check each of the areas in which you consider yourself FULLY EXPERIENCED: |
Apartment & Project Homes
Housing for the Elderly
Retail Stores
Shopping Centers
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Custom Homes
Nursing Homes
Offices
Supermarkets
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Check each of the areas in which you consider yourself FULLY EXPERIENCED: |
Drywall on wood framing
Drywall on metal framing
Vinyl covered drywall
Solid gypsum shaft walls
Drywall finishing
Sound control drywall
Plastering
Wood framing
Steel stud framing
Curtain wall construction
Steel doors & frames
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Curved partitions
Suspended furring
Demountable partitions
Mig welding
Stick welding
Rigid insulations
Fiberglass insulations
Acoustical ceilings
Stucco
E.I.F.S.
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EDUCATION |
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High School or Vocational School |
Name: |
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Location: |
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Number of years completed? |
Did you graduate?
YES
NO
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What was your course of study? |
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College |
Name: |
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Location: |
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Number of years completed? |
Did you graduate?
YES
NO
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What was your major? |
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What is your degree? |
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Did you enroll in a post graduate course of education? |
YES
NO
If YES, what was your post graduate field of study?
If YES, what is your post graduate degree?
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Trade, Business, or Correspondence School |
Name: |
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Location: |
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Number of years completed? |
Did you graduate?
YES
NO
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What was your course of training or study? |
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FOREIGN LANGUAGES |
Indicate foreign language(s) you are familiar with: |
Language:
Speak
Read
Write
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Fluent
Good
Fair
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Indicate foreign language(s) you are familiar with: |
Language:
Speak
Read
Write
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Fluent
Good
Fair
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MEMBERSHIPS |
List Businesses, Trade, Professional, Community or Activities Memberships and any offices you may have held.
(exclude any organizations the name and character of which would reveal race, religion, national origin or any other protected status): |
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EMPLOYMENT HISTORY |
Begin with most recent employer |
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Employer #1: |
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Employment Start Date: |
End Date:
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Employer's Address: |
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Employer's Phone Number: |
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Job Title: |
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Job Description: |
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Starting Salary: |
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Supervisor's Name: |
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Reason for Leaving: |
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Employer #2: |
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Employment Start Date: |
End Date:
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Employer's Address: |
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Employer's Phone Number: |
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Job Title: |
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Job Description: |
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Starting Salary: |
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Supervisor's Name: |
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Reason for Leaving: |
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Employer #3: |
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Employment Start Date: |
End Date:
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Employer's Address: |
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Employer's Phone Number: |
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Job Title: |
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Job Description: |
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Starting Salary: |
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Supervisor's Name: |
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Reason for Leaving: |
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Employer #4: |
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Employment Start Date: |
End Date:
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Employer's Address: |
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Employer's Phone Number: |
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Job Title: |
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Job Description: |
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Starting Salary: |
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Supervisor's Name: |
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Reason for Leaving: |
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MILITARY SERVICE |
Were you a member of the U.S. Armed Forces? |
YES
NO
Branch:
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Years served: |
Rank at discharge:
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Describe briefly your military duties: |
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PERSONAL REFERENCES |
List three references (excluding relatives and former employers) |
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Reference #1: * |
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Relationship to you: |
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Address: |
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Phone Number: |
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Reference #2: |
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Relationship to you: |
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Address: |
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Phone Number: |
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Reference #3: |
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Relationship to you: |
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Address: |
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Phone Number: |
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APPLICANT'S STATEMENT |
The information provided by me in the application for employment is true and complete
to the best of my knowledge. Should I be employed by R. L. Reppert, Inc., any misrepresentation
or any false statement contained herein may be considered cause for possible dismissal.
The information provided by me in the application for employment is true and complete to the
best of my knowledge. Should I be employed by R. L. Reppert, Inc., any misrepresentation or any
false statement contained herein may be considered cause for possible dismissal.
R. L. Reppert, Inc. has my permission to contact directly or employ the services of investigative
agencies to obtain all necessary information from the references I have listed, or any other
sources, concerning my prior employment, personal history or credit standing and I release all
parties from any possible damages resulting from disclosing such information with or without prior
written notice to me. I reserve the right to know the names and addresses of any investigative
agencies used in order that I may learn the information contained in any reports furnished to
R. L. Reppert, Inc.
I understand this application does not constitute an employment contract of any kind.
Should I be employed by R. L. Reppert, Inc., I may resign such employment at any time at
my discretion with or without prior notice and R. L. Reppert, Inc. may terminate my employment
at any time at their discretion, with or without cause and with or without prior notice.
This application will be considered valid for a period of 7 (seven) days. After 7 (seven) days
it may be necessary for me to submit a new application.
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I have read and understand the above statements
and I agree with the terms stated:
AGREE
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