Employment Application

Please complete the form below to be considered for employment.

First Name *

Last Name *

Date of Birth *

Email *

Phone *

Address Line 1 *

Address Line 2 (Apt/Unit)

City *

State *

Zip *

Date Available *

Desired Salary

Are you a citizen of the United States? *

If no, are you authorized to work in the U.S.?

Desired Position? *

Have you ever worked for this company? *

If so, when?

Have you ever been conflicted of a felony? *

If yes, explain:

Education & Certification

Please start with your most recent education.

School/Institute *

Major/Certification Received *

Start Year

End Year

School/Institute

Major/Certification Received

Start Year

End Year

School/Institute

Major/Certification Received

Start Year

End Year

Work Experience

Please start with your most recent or current position.

Employer *

Job Title *

Address *

City *

State *

Zip *

Supervisor *

Supervisor's Phone

Start Date *

End Date

Reason for Leaving

Responsibilities

Employer

Job Title

Address

City

State

Zip

Supervisor

Supervisor's Phone

Start Date

End Date

Reason for Leaving

Responsibilities

Employer

Job Title

Address

City

State

Zip

Supervisor

Supervisor's Phone

Start Date

End Date

Reason for Leaving

Responsibilities

Professional References

Please list three professional references.

Name *

Relationship *

Company/Title *

Phone *

Name

Relationship

Company/Title

Phone

Name

Relationship

Company/Title

Phone

Transportation & Availability

Do you have dependable transportation? *

Can you be called at the last minute in case of emergency? *

Number of hours would you like to work? *

Military Service

Have you had any prior military service *

Branch

Dates of Service

Rank at Discharge

Type of Discharge

If other than honorable, explain

Idaho Fire and Flood Restoration is an equal opportunity employer and does not discriminate on the basis of race, color, national origin, age, religion, creed, disability, veteran's status, gender, sexual orientation, gender identity or gender expression.

By signing below, I certify all information within this application is correct to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Name *

Electronic Signature *

Date *

24-Hour Emergency Service

Employment Application

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