Personal Information
Name *
E-Mail *
Current Street Address *
Address Line 2
City *
State *
Zip Code *
Phone Number *
Social Security Number *
Only citizens of The United States or foreigners who have the legal right to work in The United States are eligible for employment. Can you, upon employment, present documentation verifying your legal right to work in the United States and your identity? YesNo
DCI uses E-Verify or an equivalent verification process: E-Verify Website
Have you been convicted of a felony? * YesNo
If yes, give dates and explain (a conviction will not necessarily disqualify you from employment). If no, please enter ‘NA’ *
Are you over 18 years old? * YesNo
Do you have reliable transportation? * YesNo
Which states would you travel to? (Hold CTRL to select multiple states) * FloridaTexasArkansasAlabamaGeorgiaOhio
Desired Department * Insurance Claim AssistanceGeneral LaborRestoration ServicesMetal / Wood FramingDrywallInsulation
Years of Experience * 0 - 11 - 22 - 33 - 55 - 10More than 10
Are you available to work immediately? * YesNo
Have you ever worked for Drywall Crews, Inc., DCI contractors or any of its subsidiaries? * YesNo
If yes, when and under whose supervision? If no, please enter ‘NA’ *
How were you referred to us? * AdvertisementEmployee ReferralOther
Explain (employee name or advertisement medium) *
Experience & Employment History
Employer
Address
Dates Worked From
To
Position(s) Worked
Supervisor Name
Phone Number
Beginning Salary
Per HourDayWeekBi-monthly2 WeeksMonthYear
Ending Salary
Please include a brief summary of duties performed *
Reason for leaving
May we contact your previous employers? YesNo
Please add any additional comments, work ability, training, or experience you believe are relevant to the requested work, here
Education & Military History
High School Name
Grade Completed 9101112
Certificate / Diploma CertificateDiplomaNo
Course(s) studied
College Name
Years Completed 12345678
Certificate / Degree CertificateASAAAASBSBABFABBABArchBSNBEMSMAMBAMSWPhDPsyDNo
Major / Minor
Have you served in The United States Armed Forces? If not, please select no and skip to the next section YesNo
Military Branch Air Force / Air Force ReserveAir National GuardArmy / Army ReserveArmy National GuardCoast Guard / Coast Guard ReserveMarine Corps / Marine Corps ReserveNavy / Navy Reserve
Entrance Date
Discharge Date
Main Functions
Special awards, training or work experience gained
Do you have an annual two-week training commitment? YesNo
If yes, are those two weeks flexible? YesNo
Additional Information
Have you taken a 10-hour OSHA class? * YesNo
Have you been certified for Hilti / powder-actuated tools? * YesNo
Have you been trained in aerial lifts and understand the operation and safety of aerial lifts? * YesNo
Have you had any training in fall protection? * YesNo
Authorization Agreement
Conditions for employment (Please read carefully before signing)
In exchange for consideration of this application for Drywall Crews, Inc. (“DCI”), I hereby certify the following:
1. I authorize the investigation of all matters contained in this application. I certify that the answers given in this document are true and complete. I understand that any deception, inaccuracy, omission of facts from incomplete responses will result in my immediate dismissal, regardless of when the deception was discovered. (Enter your initials below) *
2. I understand that (1) DCI has a drug and alcohol policy that provides for evidence pre-employment, as well as employment tests; (2) consent to be tested of drugs or controlled substances in my body in compliance with this policy and (3) that my job depends on my taking and passing the test. (Enter initials below) *
3. I understand and authorize INN to carry out background checks and verification of my social insurance without the need for further consent or authorization by me. (Enter initials below) *
4. I understand that any job offered by DCI is employment at will. This means that the employment relationship can be broken at any time, for any reason, with or without cause, by either party. In addition, if employed, I understand that DCI may unilaterally change or revise its benefits, policies and procedures and such changes can result in reduced benefits. (Enter initials below) *
5. I understand that if I am employed, I am on probation for the first hundred and eighty 180 days of my employment for the purpose of the Unemployment Compensation Act Arkansas. I understand that my employer may fire me for cause (ie no be in compliance with company policy, unsatisfactory work performance, or falsification of information) during this period and I will not be eligible for unemployment. (Enter initials below) *
Signed, (Full name of applicant) *
On Date *
Address 10257 West Circle Road Suite 1A Rogers, AR. 72756
Contact info@drywallcrews.com 855-MAN-IT-4-U – toll free (855-626-4848)
Hours: 24/7/365