JOB APPLICATION

Top Quality Doors is an equal opportunity employer. If you’re interested in joining our team, we ask that you complete and submit the application below.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Divers License Number(Required)

State Issued(Required)

Position Applying For(Required)

Desired Salary(Required)

Applying for(Required)

Full Time

Part Time

Seasonal

Temporary

Are you under 18 years of Age?(Required)

Yes

If under 18, can you provide a work permit

Yes

Are you available to travel out of town/overnight if required?(Required)

Yes

Restricted

If No or Restricted, please explain

Are you currently employed?(Required)

Yes

Laid Off

If Yes, why do you want to change?

If Laid Off, do you expect to get called back?

Yes

Available Start Date(Required)

How did you learn about Top Quality Doors?

To comply with laws concerning the employment of illegal aliens, can you provide proof of employability? *(Required)

Yes

Education

High School Attended(Required)

Years Attended(Required)

Graduated?(Required)

Yes

College Attended

Years Attended

Other Education

Degree

List all professional, trade, business, and civic activities and offices held.

MILITARY STATUS (if applicable)

Branch of Service

Rank Held at Entry

Rank Held at Release

Nature of Duties

Specialized Training Received

Do you have a Reserve or National Guard obligation?

Yes

If you have a National Guard obligation, please describe

EMPLOYMENT HISTORY

Please list your employment beginning with most recent. If records are under a different name, please provide name for reference purposes. List all employment including part-time and temporary positions. List complete dates. This information must be complete in order to be considered for employment with Top Quality Doors.

JOB 1: Employer Name

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone Number with Area Code

Supervisor

Employment Dates:

Title and Duties

Reason for Leaving

JOB 2: Employer Name

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone Number with Area Code

Supervisor

Employment Dates

Title and Duties

Reason for Leaving

JOB 3: Employer Name

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone Number with Area Code

Supervisor

Employment Dates

Title and Duties

Reason for Leaving

May we contact your present and previous employers?

Yes

If No, please explain in detail

PERSONAL REFERENCES

Please do not list employers or family members as your personal reference.

REFERENCE 1

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship

REFERENCE 2

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Relationship

Driving Experience

List a) all types of equipment you’ve been trained or certified to operate, b) how long you’ve been trained or certified to operate the equipment, and c) if you have any professional certifications related to operating experience

Accident Record

Top Quality Doors requires a clean driving record and insurance background; driving record is requested.

ACCIDENT 1: Type of Accident

Date of Accident

Were there any fatalities or injuries?

Fatalities

Injuries

ACCIDENT 2: Type of Accident

Date of Accident

Were there any fatalities or injuries?

Fatalities

Injuries

Traffic Convictions

List all convictions and forfeitures for the past 5 years.

CONVICTION 1: Location (City & State)

Date

Charge

Penalty

CONVICTION 2: Location (City & State)

Date

Charge

Penalty

Have you ever been denied a license, permit, or privilege to operate a motor vehicle? *(Required)

Yes

Has your license, permit, or privilege to drive ever been suspended or revoked? *(Required)

Yes

If your answer is Yes to either question, please explain details.

I understand that if hired, my employment will be “at will” and that either the company or I may terminate the employment relationship at any time with or without cause and with or without notice. I further understand that this employment relationship may not be modified by verbal statements, customs, practices, or written documents unless such modification is in writing and signed by an authorized representative of the company. *(Required)

Yes, I understand.

Top Quality Doors has a Drug/Alcohol Free Workplace Policy. A Pre-Employment drug test will be required and Random Drug testing mandatory. *(Required)

I understand and acknowledge the above.

In regards to my application for employment, I authorize this prospective employer to contact any or all previous employers indicated to discuss my employment history, including reasons for termination of past employment. I also authorize this prospective employer to conduct a background check on my driving record and confirm any or all information contained in this employment application. I certify that all information on this application is true and complete to the best of my knowledge. I understand that falsification of any information on this application will be grounds for immediate discharge. *

Date(Required)

CAPTCHA

JOB APPLICATION

Education

MILITARY STATUS (if applicable)

EMPLOYMENT HISTORY

PERSONAL REFERENCES

Driving Experience

Accident Record

Traffic Convictions

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