1160 E 12th St

Dubuque, IA 52001

(563) 556-4822

24/7 Emergency HVAC Service

Mon. - Fri.

7:00 a.m. - 4:00 p.m.

Career Application

Name

Phone

Address

City

State

ZIP / Postal Code

Position Applying For

How did you hear about us?

If you are under 18, can you furnish a work permit?

Yes No

Are you legally permitted to work in this country?

Yes No

Do you have a valid driver's license?

Yes No

If the job requires the use of a commercial driver's license, do you have a valid commercial driver's license?

Yes No

Are you able to perform the essential functions of the job for which you are applying?

Yes No

Have you ever pled "guilty" to or been convicted of a crime or do you have any criminal charges pending?

Yes No

Date you can start:

Hourly Wage/Salary Desired:

Are you employed now?

Yes No

If so, may we contact your present employer?

Yes No

If yes, when?

Education and Training

This information will be used only where relevant and to assist in determining what positions might be appropriate for consideration.

High School - Name and Location

High School - No. of Years Attended

High School - Did you Graduate?

Yes No

College - Name and Location

College - No. of Years Attended

College - Did you Graduate?

Yes No

College - Subjects Studied

Trade or Business School - Name and Location

Trade or Business School - No. of Years Attended

Trade or Business School - Did you Graduate?

Yes No

Trade or Business School - Subjects Studied

Please Describe any other training or apprenticeship programs you consider relevant to the position for which you are applying

Work Experience / Former Employers

Start with your current or most recent job. Provide complete information. Be specific, include self-employment and military service.

Employer (current or most recent)

Your Title

Your Duties

Street Address

Address Line 2

City

State

Zip Code

Phone

Supervisor

Total Time Employed

From (Month / Year)

To (Month / Year)

Last Rate of Pay

Reason for Leaving

Second Employer (if necessary)

Your Title

Your Duties

Street Address

Address Line 2

City

State

Zip Code

Phone

Supervisor

Total Time Employed

From (Month / Year)

To (Month / Year)

Last Rate of Pay

Reason for Leaving

References

Please only list persons not related to you

Name

Address

Phone

Business

Years Acquainted

Name

Address

Phone

Business

Years Acquainted

Authorization, Certification and Release

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to cancel further consideration of this application, or immediately discharge me from the employer’s service, whenever it is discovered without liability to Advantage Sheet Metal.

Any offer of employment is contingent upon a check of my references and give my permission to the employer to verify the information given in this application.

I have read, understand and agree with the above statement.

Resume

Advantage Sheet Metal, Inc. | 1160 E 12th St., Dubuque, IA 52001 | (563) 556-4822

1160 E 12th St

(563) 556-4822

Mon. - Fri.

Career Application

Education and Training

This information will be used only where relevant and to assist in determining what positions might be appropriate for consideration.

Work Experience / Former Employers

Start with your current or most recent job. Provide complete information. Be specific, include self-employment and military service.

References

Please only list persons not related to you

Authorization, Certification and Release

© 2018 Advantage Sheet Metal, Inc. - All Rights Reserved.