Application For Employment
220-B Goffle Road
Hawthorne, NJ 07506


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Please answer ALL questions. Resumes are not a substitute for a complete application.
We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability or any other category protected by applicable federal, state, or local laws.

Eppley Building and Design, INC. is an AT-WILL employer as allowed by applicable state law. This means that regardless of any provision in this application, if hired, the company or employee may terminate the employment relationship at any time, for any reason, with or without cause or notice.
Please enter your full name *
Please provide any other names by which you have been known which may be necessary to allow us to confirm your work and educational records. For example, change of name, use of an assumed name, nickname, etc.
Position Applied For *
Mobile Phone Number *
Alternate Phone Number *
Current Home Address *
How long have you lived at your current address? *
Previous Address
How long had you lived at your previous address?
Desired Hourly Rate or Salary *
If under the age of 18, or a non-citizen, can you produce the necessary work certificate(s) to work in the U.S. at the time of employment? *
Type of employment desired? (Full-time or list your availability) *
Are you willing to work overtime? *
When will you be available to start working? *
Have you previously applied to work for us? *
Have you previously worked for us? *
Instructions for answering the next two questions
All applicants: Do not include convictions that were sealed, eradicated, erased, annulled by a court, or expunged, or convictions that resulted in referral to a diversion program.

New York applicants: All pending arrests or criminal accusations must be disclosed. You are not required to disclose arrests or criminal accusations that resulted in criminal actions or proceedings which were terminated in your favor. Do not disclose criminal actions or proceedings that were sealed or classified as youthful offender adjudications. An ex-offender who is denied employment may, upon written request, receive a statement of the reason(s) for denial within thirty (30) days of the applicant's request for such information.
Have you ever plead guilty or no contest to, or been convicted of any criminal offense other than the applicable exceptions listed above? *
Have you even been arrested for any matter for which you currently are out on bail or on your own recognizance pending trial? *
Criminal offenses only: If you answered Yes, to either of the above two questions, please provide the date(s) and explain in accordance with the above instructions so that individual circumstances can be considered.
Criminal convictions or arrests will not automatically disqualify an applicant from a particular job. Eppley Building & Design, INC. will consider the nature of the crime, its seriousness, the substantial relation to the position's functions and qualifications, the number of occurrences, the applicant's age at the time of the crime, the time elapsed since the crime, the applicant's entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by law.
Have you ever initiated an act of violence in the workplace? *
If Yes, please provide the date(s) and explain so that individual circumstances can be considered. (A "Yes" answer will not necessarily disqualify you from employment.)
List all special technical skills that you feel qualify you for the job for which you are applying. (For example, computer programming/language, software, equipment operation, special tools or machines, etc.)
List the name and location of the High School you graduated from and year (or enter the highest level completed, if no high school education has been completed enter "none") *
List the name and location of the Tech/Trade/College/Post College you graduated from and year. Provide your course of study & number of years completed. Provide your degree name or certificate if applicable. (or enter the highest level completed, if no higher education has been completed enter "none") *
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