Action Installers Inc. » Employment Application

Employment Application

Applications are considered for all positions without regard to race, color, sex, national, age, martial or veteran status, or in the presence of non-related medical condition or handicap.

* = Required fields

Name:*
Date:*
Phone #:*
Email:
Address:*
Street Address Address Line 2 City State ZIP Code
SS#:*
DOB:*
Are you a citizen of the United States of America?
- Yes
- No
Have you applied here before?
- Yes
- No
When?
Position currently applying for?
Start when?
Availability
- Full-time
- Part-time
- Temporary
- Other
Have you been convicted of a felony?
- Yes
- No
Please explain:
Emergency Contact:
Phone #:
Employment Experience: Start with your present employer or last employer. Include military assignments & other volunteer activities. Exclude organizations names which indicate race, religion, or national origin.
Present or last employer:*
Address:*
Street Address Address Line 2 City State ZIP Code
Phone #:*
Supervisor's Name:*
Job Title:*
Reason for Leaving:*
Employee Start Date*
Employee End Date*
Salary or Hourly Rate:
Job Duties:
Job #2:
Address:
Street Address Address Line 2 City State ZIP Code
Phone #:
Supervisor's Name:
Job Title:
Reason for Leaving:
Employee Start Date
Employee End Date
Salary or Hourly Rate:
Job Duties:
Job #3:
Address
Street Address Address Line 2 City State ZIP Code
Job Title:
Reason for Leaving:
Employee Start Date
Employee End Date
Salary or Hourly Rate:
Job Duties:
Reference 1
Name:
Address
Street Address Address Line 2 City State ZIP Code
Phone #:
Years Acquainted:
Reference 2
Name:
Address
Street Address Address Line 2 City State ZIP Code
Phone #:
Years Acquainted:
Reference 3
Name:
Address
Street Address Address Line 2 City State ZIP Code
Phone #:
Years Acquainted:
Reference 4
Name:
Address
Street Address Address Line 2 City State ZIP Code
Phone #:
Years Acquainted:
Education
School/College Attended:
# of Years:
Year Graduated:
Degree:
School/College Attended:
# of Years:
Year Graduated:
Degree:
Describe any Special qualificatons for this job:
Describe and special certifications or training (safety, OSHA, equipment)
Are you a veteran of the U.S. Military Service?
- Yes
- No
Do you have a valid driver's license?
- Yes
- No
If no, please provide a short explanation why & also when can you get it back?
Drivers License #:
State:
Expiration Date:
Can you read blueprints?
- Yes
- No
Do you own a tool belt and basic hand tools?
- Yes
- No
If no, are you willing to purchase them?
- Yes
- No
What is your job title with your most recent employer?
What types of projects have you worked on in the past? (Wendy's, Home Depot, Kohl's, etc.) Please list the name and tpye of business (retail, distribution center, restaurant, etc.)
How many individuals have you supervised on one project?
Are you experienced at interacting with management and/or clients professionally?
- Yes
- No
If no, Do you believe you possess the skills to do so?
Are you computer literate?
- Yes
- No
Do you own a laptop?
- Yes
- No
Are you capable of uploading and transferring photos and documents?
- Yes
- No
Wiil anything prohibit you from traveling for 1 to 4 weeks at a time?
- Yes
- No
Can you pass pre-employment and/or random drug screens
- Yes
- No
What are your salary requirements
I CERTIFY that answers given herein are true and complete to the best of my knowledge. I authorize investigations of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I understand that this application is not intended to be a contract of employment. In the event of employment, I understand that false or misleading information given on my application or during my interview may result in termination.*
- Yes
- No
Captcha
Name
This field is for validation purposes and should be left unchanged.

Retail Services:
- Fixturing & Display
- Signage
- Gondola
- Mobile Rack
- Kiosks
- Racking
- Shelving
- Show Cases
Warehouse Services:
- Pallet Racks
- Mezzanines
- Pushback Rack
- In-Plant 0ffices
- Cantilever rack
- Pallet Flow Rack
- Dock Equipment

Employment Application

Retail Services:

Warehouse Services: