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It is the policy of Experience Building Services to provide equal opportunity to all applicants without regard to race, color, religion, sex, marital status, national origin, ancestry, citizenship, age, handicap or veteran status, except for reasons of business necessity or when bona fide occupational qualifications are applicable. None of the information requested will be used to exclude you from consideration based upon any of these characteristics, except to the extent required or permitted by law.

Your Pre-Application will be considered active for 90 days. For Consideration after that, you must fill out a new Pre-Application.

    1. Name/Address/Phone Number:

    First Name

    Middle Name

    Last Name

    Address & Street

    City

    State

    Phone Number

    Position Desired

    2. What days are you available to work?

    MondayTuesdayWednesdayThursdayFridaySaturdaySunday

    3. Employment History: Dates employed. Most recent first.

    Start Date:

    End Date:

    Company Name:

    Address:

    Company Phone:

    Position:

    Duties:

    Supervisor's Name:

    Reason For Leaving:

    Last Hourly Rate:

    Start Date:

    End Date:

    Company Name:

    Address:

    Company Phone:

    Position:

    Duties:

    Supervisor's Name:

    Reason For Leaving:

    Last Hourly Rate:

    4. Have you ever worked for Experience Building Services?

    YesNo

    If Yes, When/Where:

    5. Do you want a part-time job?

    YesNo

    6. Do you have reliable transportation?

    YesNo

    7. Have you pled guilty or been convicted of a theft related offense, or otherwise been found guilty or anything other than a minor traffic violation?

    YesNo
    Conviction of a crime is not an automatic bar to employment.

    8. Do you have a legal right to work in the United States of America?

    YesNo

    Are you 18 years of age or older?

    YesNo

    Can you submit a valid work permit if required by state law?

    YesNo

    9. If an offer of employment is made, would you consent to a physical examination including a comprehensive drug screen?

    YesNo

    10. If an offer of employment is made, would you consent to a polygraph test?

    YesNo

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