Finished Floors Finished Floors
Long-lasting flooring for healthcare, manufacturing, retail & hospitality

Job Opportunities

New Employee information

Employee Data
 
First Name: Last Name: Middle Initial:
 
Current Address:
 
City: State: Zip Code:  
 
 
Phone: How long have you resided at current address?
 
 
Prior Address:
 
City: State: Zip Code:  
 
 
Phone: How long did you reside at prior address?
 
 
Have you worked for this company in the past? If so, when?    
   
 
 
Names of friends or relatives who presently work for this company:
 

Emergency Contact Information
 
Name: Home Phone: Work Phone:  
 
 
Address
 
City: State: Zip:  
 
 
 
Name: Home Phone: Work Phone:  
 
 
Address
 
City: State: Zip:  
 
 

Position Desired
 
Position: Date you can start: Are you currently employed: If so, may we contact your current employer?
 

Employment History and Educational Background
List your past three (3) employers, beginning with the most recent.
Employer # 1
Company:
 Address:
 Phone:
 Supervisor:
Start date:
 End date:
 Reason for leaving
Duties:
Employer # 2
Company:
 Address:
 Phone:
 Supervisor:
Start date:
 End date:
 Reason for leaving
Duties:
Employer # 3
Company:
 Address:
 Phone:
 Supervisor:
Start date:
 End date:
 Reason for leaving
Duties:
 
List the past three (3) schools you attended, beginning with the most recent.
       
Name and Address Years Completed Did you graduate? Major/Degree
1. 
2. 
3. 
 

General
 
List any foriegn languages you can speak and check your level of fluency:
 
         
         
         
 
 
List any special skills/abilities you have that can be applied to this position:
 
 

Security
 
Have you ever been bonded?
 
If so, explain:
 
Have you been convicted of a felony within the past 5 years ?
 
If so, explain (this will not necessarily exclude you from consideration)::
 

Military
 
Have you served in the military? Branch    
   
 
Served From      
/ /  to   / /
 
Rank:      
     
 
Do you have any military commitment, including
National Guard sevice that would influence your work schedule?
 
If so, explain:
 
Are you a Vietnam veteran?
 
Are you a disabled veteran?
 
Are you a special disabled veteran?
 
REASONABLE ACCOMMODATIONS: In the event you believe you will need reasonable accommodations to assist you in performing your job, please contact your supervisor or human resources coordinator.