Apex Homes Employment Application

Thank you for your interest in Apex Homes, Inc. PLEASE DO NOT CALL TO CHECK THE STATUS OF YOUR APPLICATION! Applications are reviewed as needed therefore calling will not increase your chances for an interview. You increase your chances of receiving a call for an interview by the information you provide on your application and the Pre-employment Questionnaire.

The Pre-employment Questionnaire is a tool that we use to make the applicant screening process more efficient. It is to your advantage to be as specific as possible when listing your skills and experience in the requested area.

If you are hired by Apex Homes, Inc. you will be required to submit to a pre-employment drug screen. The test will be completed onsite by a representative of our company who is certified in the collection and processing of the test and results. The fee for the test is $35.00 which is payable at the time of the test, reimbursed if the results are negative, and after you have completed 30 working days of employment.

Again... Thank you for your interest in Apex Homes, Inc.

Personal Information

Last Name:

First Name:

Middle Name:

Present Address:

City, State, Zip:

Permanent Address:

City, State, Zip:

Phone:

Are you 18 years or older? YesNo

If under 18 years of age can you submit a work permit if a position is offered? YesNo

Are you prevented from lawfully becoming employed in this country? YesNo

Employment Desired

Position:

Date You Can Start:

Salary Desired:

Are you employed now? YesNo

If so may we inquire of your present employer? YesNo

When we check your previous employment references, what is the worst thing we may hear about you?

When we check your previous employment references, what is the best thing we may hear about you?

Have you ever been employed by Apex Homes, Inc.? YesNo

From:

To:

Department:

Position:

Supervisor:

Reason for Leaving:

What are the names of any relatives or friends already employed by Apex Homes, Inc.?

Education	Name and Location of School	Years Attended	Did You Graduate	Subjects Studied
High School			YesNo
College			YesNo
Trade, Business, or Correspondence School			YesNo

General

Subjects of special study or research work

What skills and experience do you have that qualify you for the position?

Can you read a tape measure accurately? YesNo

Would you agree to a test measuring you accuracy, if interviewed? YesNo

Activies: (Civic, Athletic, Etc.)

U.S. Military or Naval Service:

Rank:

Present Membership in National Guard or Reserves:

Former Employers

(List below last three employers, starting with last one first)

Date From and To	Name and Address of Employer	Salary	Position	Reason for Leaving

Which of these jobs did you like the best and what did you like the most about it?

References

(Give the names of three persons not related to you, whom you have known at least one year)

Name	Address	Business	Years Acquainted

Emergency Contact Name:

Address: