Please
answer all questions. If you'd prefer to send us your resume, please
e-mail it (in the body of the e-mail, no attachments please) to:
hr@ybc.com.
Note: This application was designed for use
with several types of job positions. Some questions may not be
completely applicable to the job position you are seeking; however, you
must answer all questions.
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PERSONAL INFORMATION
Last Name:
First Name:
Middle Name:
SS #:
Date:
Street Address:
City: State:
Zip: Phone:
How long at present address?
If less than one year, please list previous address below.
Street Address:
City:
State:
Zip:
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POSITION
INFORMATION
Position Applied For:
Date Available:
Please check all that apply:
Full
time
Part
time
Temporary
Seasonal
On-call
Are you willing to work overtime if necessary?
Yes
No
Only US citizens or aliens who have a legal right to work in the US are
eligible for employment. Can you, upon employment, submit
documentation verifying your identity and your legal right to work in
the US?
Yes
No
Have you ever been convicted of a crime (other than a minor traffic
violation) or entered a plea of guilty or nolo contendre?
Yes
No
If yes, give dates and explain. "Yes" answers will
not necessarily be a bar to employment. Factors such as age and
time of the offense, seriousness and nature of the violation, and
rehabilitation will be taken into account.
Are you 18 years of age or older?
Yes
No
If under 18, please state your age:
Have you ever been employed by York Bridge Concepts?
Yes
No
If yes, when?
How many days were you absent from work during the past year due to
illness?
How did you hear about the position? Please specify the
newspaper, agency, etc.
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Newspaper:
Employee
Referral:
Internet: |
Other
Ad:
Agency:
Other: |
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PREVIOUS
EMPLOYMENT
List only carpentry, construction or equipment experience for jobs you
have held. Please list your most recent experience first.
Employer1:
Supervisor:
Hourly Rate/Salary: Starting:
Ending:
Address:
Phone Number:
Dates Employed: From:
To:
Position Held:
Reason for Leaving:
Work Performed:
Employer2:
Supervisor:
Hourly Rate/Salary: Starting:
Ending:
Address:
Phone Number:
Dates Employed: From:
To:
Position Held:
Reason for Leaving:
Work Performed:
Employer3:
Supervisor:
Hourly Rate/Salary: Starting:
Ending:
Address:
Phone Number:
Dates Employed: From:
To:
Position Held:
Reason for Leaving:
Work Performed:
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EDUCATION
May or may not be considered depending on job applied for.
Please begin with most recent school.
School1:
Address:
# of Years Attended:
Field of Study:
Degree:
School2:
Address:
# of Years Attended:
Field of Study:
Degree:
School3:
Address:
# of Years Attended:
Field of Study:
Degree:
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OTHER
INFORMATION
Please summarize special job-related skills or qualifications including
licenses and certificates (please give registration number, state and
expiration date) acquired from employment or other experience, which
relates to the job for which you are applying.
In order to permit a check of your work and educational records, should
we be made aware of any name change or assumed name you used previously.
Yes
No
If yes, please identify names and relevant dates.
List any relatives who are currently employed by us:
Name:
Relationship:
Name:
Relationship:
References:
Please give the name, address, telephone number and company of two
character references who are not related to you and are previous
employers.
1.
2.
Please give the name, address, telephone number of two character
references not related to you.
1.
2.
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FIELD
EMPLOYEE INFORMATION
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Please
indicate other areas in which you have previous experience.
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Finish
carpentry
Wood
handrail
Heavy
timber carpentry |
Wood
docks
Roofing
Operating
backhoe |
Wood
bulk heading
Pile
driving
Operating
Lull |
Please list all
other experience you feel may be beneficial for this position:
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Do you
have a valid driver's license?
Yes
No
License #:
Expiration Date:
State:
Restrictions?
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List any
driving violations you have had in the last three years:
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Are you
able to travel out of town for extended periods of time?
Yes
No
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You will
be required to lift weights 75 lbs. and more, bend frequently, and
work long hours each day. Can you perform these functions on a
day-to-day basis?
Yes
No
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