Employment Questionnaire

Employment Questionnaire

Instructions : Fill entire form completely do not leave blank any information that apply.

Today's Date

Position Applying For

Name

Primary Telephone Number

Secondary Phone Number

If under 18 years old please indicate age

Do You Have A Current And Valid Colorado State Driver's License?
Yes No

Colorado Driver License #

What Starting Hourly Wage Are You Seeking?

Do not leave blank, do not put 'negotiable' or the like

When are you available to start?

Do not leave blank, do not put 'negotiable' or the like

Are you currently working for yourself, working for another company, unemployed?

Current Address Street Address City, State, Zip	How Long At Current Address?
Previous Address Street Address City, State, Zip	How Long At Previous Address?

Please describe the position you are applying for and describe in detail the type of work, duties you will be doing

Have You Ever Been Convicted Of A Crime ?
Yes No

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offensive(s) was/were committed, sentence(s) imposed, and type(s) or rehabilitation

Have You Ever Been Convicted as a sex offender ?
Yes No

If yes, explain number of conviction(s), nature of offense(s) leading to conviction(s), how recently such offensive(s) was/were committed, sentence(s) imposed, and type(s) or rehabilitation

Can You Work 40 Hours a week, Mon-Fri Between 8:00 AM - 5:30 PM?
Yes No

Indicate Which Days Available During The Week For Work
Mon	Tues	Wed	Thur	Fri	Sat	Sun

Explain If There Are Any Days Or Hours You Are Not Available For Working

Do You Have Experience Hauling A Trailer or Truck Driving Experience - If yes please provide details

Formal Education

High School	Years Completed
College	Years Completed
Business/Trade School	Years Completed

Please explain any other education you have completed, certifications, seminars, training, etc...

Have you ever been fired from a job ?
Yes No

If yes, explain :

Tell Us About Your Interests Outside Of Work

What is your favorite job duty you like doing?

Tell Us About The Best Job You Have Ever Had And Why You Consider It So

What problems have you had with other bosses or supervisors in the past and why?

Tell us what reasons you may be better at your profession than other employees you worked with?

What is your least favorite job duty you don't like doing?

Why are you seeking new employment?

Tell Us About The Worst Job You Have Ever Had And Why You Consider It So

Tell Us About What You Consider Your Best Trait And Explain Why

Tell Us About What You Consider Your Worst Trait And Explain Why

Tell Us About Your Top 3 best Skills You Have In Construction

Tell Us About 3 examples of where you were under pressure to perform in construction

Tell why you would be the perfect candidate for this job and why you should be hired

Tell Us About Where you Think You Need Improvement in Construction

Who can establish that you are a reliable, good worker and a stable, honest person (Please list names, phone numbers and relationships) ?

May we contact these referrals ? Yes/No

What Is Your Means Of Transportation To Work?

Have You Had Any Accidents During The Past Three Years
Yes No

If yes, how many and explain

Have You Had Any Tickets During The Last Three Years
Yes No

If yes, how many and explain

Past Work Experience

Current or most recent company you worked for

Company Name Owner's Name Address Phone Number Person to Contact Okay to contact? Yes/No	Your job title Describe your duties Starting Date Ending Date Starting Wages Ending Wages
Reason for leaving, did you leave on good or bad terms, were you fired, did you quit, explain reasons: What did you like about this company, and tell us what you did not like: How would you have improved this company? Previous Job
Company Name Owner's Name Address Phone Number Person to Contact Okay to contact? Yes/No	Your job title Describe your duties Starting Date Ending Date Starting Wages Ending Wages
Reason for leaving, did you leave on good or bad terms, were you fired, did you quit, explain reasons: What did you like about this company, and tell us what you did not like: How would you have improved this company? Previous Job

Company Name Owner's Name Address Phone Number Person to Contact Okay to contact? Yes/No	Your job title Describe your duties Starting Date Ending Date Starting Wages Ending Wages
Reason for leaving, did you leave on good or bad terms, were you fired, did you quit, explain reasons: What did you like about this company, and tell us what you did not like: How would you have improved this company? Previous Job
Company Name Owner's Name Address Phone Number Person to Contact Okay to contact? Yes/No	Your job title Describe your duties Starting Date Ending Date Starting Wages Ending Wages
Reason for leaving, did you leave on good or bad terms, were you fired, did you quit, explain reasons: What did you like about this company, and tell us what you did not like: How would you have improved this company?