Wheelhouse Mechanical Job Application
It is our policy to comply with all applicable state and federal laws prohibiting discrimination in employment based on race, age, color, sex, religion, national origin, disability, or other protected classification.
Please carefully read and answer all questions.  You will not be considered for employment if you fail to completely answer all the questions on this application.  You may submit a resume, but all questions must be answered.
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Email *
EMPLOYER:  WHEELHOUSE MECHANICAL

Position applying for
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Name (Last, First, Middle) *
Street Address and/or Mailing Address *
City *
State *
Zip *
Home Telephone Number *
Business Telephone Number *
Cell Phone Number *
Date you can start work *
MM
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DD
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Salary Desired *
Do you have a High School Diploma or GED? *
POSITION INFORMATION  Check all you are willing to work

Hours
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Required
Days or Evenings
Shift
Status
Are you authorized to work in the U.S. on an unrestricted basis? *
If yes, explain: *
Have you been told the essential functions of the job or have you viewed a copy of the job description listing the essential functions of the job? *
Can you perform these essential functions of the job with or without reasonable accommodations? *
QUALIFICATIONS:  Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, college degrees, vocational or technical programs, and military training: (Provide School Name, Degree, City and State) *
SPECIAL SKILLS:  Please list any skills or experience that you feel would help you in the position that you are applying for (leadership, organizations/teams, etc) *
REFERENCES:  Please list three professional references not related to you, with full name, address, phone number, and relationship.  If you don't have three professional references, then list personal, unrelated references. *
WORK HISTORY:  Start with your present or most recent employment and work back.   (INCLUDE PAID AND UNPAID POSITIONS)

JOB Title #1
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JOB #1 - Start Date
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JOB #1 - End Date
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JOB #1 - Company Name
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JOB #1 - Supervisor's Name
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JOB #1 - Phone Number
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JOB #1 - City
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JOB #1 - State
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JOB #1 - Zip
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JOB #1 - Duties
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JOB #1 - Reason For Leaving
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JOB #1 - Starting Salary
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JOB #1 - Ending Salary
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JOB #1 - May we contact your present employer? *
JOB Title #2
JOB #2 - Start Date
JOB #2 - End Date
JOB #2 - Company Name
JOB #2 - Supervisor's Name
JOB #2 - Phone Number
JOB #2 - City
JOB #2 - State
JOB #2 - Zip
JOB #2 - Duties
JOB #2 - Reason For Leaving
JOB #2 - Starting Salary
JOB #2 - Ending Salary
JOB #2 - May we contact your present employer?
Clear selection
JOB Title #3
JOB #3 - Start Date
JOB #3 - End Date
JOB #3 - Company Name
JOB #3 - Supervisor's Name
JOB #3 - Phone Number
JOB #3 - City
JOB #3 - State
JOB #3 - Zip
JOB #3 - Duties
JOB #3 - Reason For Leaving
JOB #3 - Starting Salary
JOB #3 - Ending Salary
JOB #3 - May we contact your present employer?
Clear selection
JOB Title #4
JOB #4 - Start Date
JOB #4 - End Date
JOB #4 - Company Name
JOB #4 - Supervisor's Name
JOB #4 - Phone Number
JOB #4 - City
JOB #4 - State
JOB #4 - Zip
JOB #4 - Duties
JOB #4 - Reason For Leaving
JOB #4 - Starting Salary
JOB #4 - Ending Salary
JOB #4 - May we contact your present employer?
Clear selection
     I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge.  I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal.  I authorize the Employer (Wheelhouse Mechanical)  to make an investigation of any of the facts set forth in this application and release the Employer from any liability.  The Employer may contact any listed references on this application.
     I acknowledge and understand that the company is an "at will" employer.  Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.  
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Signature (By typing your full name you agree to the above) *
Date *
MM
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DD
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YYYY
A copy of your responses will be emailed to the address you provided.
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