APPLICATION FOR EMPLOYMENT

We are an equal opportunity employer. Applicants are considered for positions without regard to race, religion, sex, national origin, age, disability, or any other consideration made unlawful by applicable federal, state, or local laws.

Name_________________________________________________ Position Applied For ________________________________

Phone _____________________________________ Alternate or Cell Number ___________________________________

Present Address __________________________________________________________ How long have you lived there?__________

Previous Address _________________________________________________________ How long did you live there? ____________

Desired Salary / Hourly Rate ___________________

If under the age of 18, can you produce a necessary work certificate at the time of employment? Yes q No q

Type of employment desired? Full-time q Part-time q (Specify Hours) _____________________________

Are you willing to work overtime? Yes q No q Date you can start if hired ______________________________

Have you previously applied for employment with this Company? Yes q No q If Yes, when? _________________

Have you ever been employed by this Company? Yes q No q

If Yes, provide dates and reason for separation __________________________________________________________

All applicants: Do not included convictions that were sealed, eradicated, erased, annulled by a court, or expunged, or convictions that resulted in referral to a diversion program:

Have you ever plead guilty or no contest to, or been convicted of any criminal offense? Yes q No q

CRIMINAL OFFENSES ONLY: If you answered Yes, please provide explain and provide the dates _________________

_________________________________________________________________________________________________

Criminal convictions or arrests will not automatically disqualify an applicant from this particular job. We will consider the nature of the crime, it’s seriousness, whether the conviction(s) substantially related to the positions functions and qualifications, the frequency of convictions, the applicant’s age at the time of the conviction, the time elapsed since the date of the conviction or completion of jail sentence, the applicant’s entire work and educational history, and employment referenced and recommendations.

Have you ever initiated an act of violence in the workplace? Yes q No q

If Yes, please provide the date(s) and explain ____________________________________________________________

List all special technical skills that you feel qualify you for the job for which you are applying ________________________

_________________________________________________________________________________________________

EDUCATION:

Education School Name and Location Course of Graduate? # of Yrs Degree/

Study Completed Major

High School

College

Technical/

Trade

WORK EXPERIENCE:

Please list the names of your present or previous employers in order with present or most recent employer first. Account for all periods of time including any period of unemployment. If self-employed, supply firm name and business referenced. You may include any verifiable work performed on a volunteer basis, internships, or military. Your failure to completely respond to each inquiry may disqualify you for future consideration from employment.

Employer Name _________________________________ Address __________________________________________

Type of Business _________________________ Phone _________________ Dates Employed____________________

Job Title __________________________ Duties _________________________________________________________

Supervisors Name _______________________________ May we contact? Yes q No q If No, why not? _________

Wages: Start _________ Final ___________ Reason for Leaving ___________________________________________

How much notice did you give when resigning? If none, explain _____________________________________________

Employer Name _________________________________ Address __________________________________________

Type of Business _________________________ Phone _________________ Dates Employed____________________

Job Title __________________________ Duties _________________________________________________________

Supervisors Name _______________________________ May we contact? Yes q No q If No, why not? _________

Wages: Start _________ Final ___________ Reason for Leaving ___________________________________________

How much notice did you give when resigning? If none, explain _____________________________________________

Employer Name _________________________________ Address __________________________________________

Type of Business _________________________ Phone _________________ Dates Employed____________________

Job Title __________________________ Duties _________________________________________________________

Supervisors Name _______________________________ May we contact? Yes q No q If No, why not? _________

Wages: Start _________ Final ___________ Reason for Leaving ___________________________________________

How much notice did you give when resigning? If none, explain _____________________________________________

WORK EXPERIENCE CONTINUED:

Please explain fully all gaps in your employment history in excess of one month. ________________________________

_________________________________________________________________________________________________

Have you ever been terminated or asked to resign from any job? Yes q No q

Has your employment ever been terminated by mutual agreement? Yes q No q

Have you ever been given the choice to resign rather than be terminated? Yes q No q

If you answered yes to any of these three questions, please explain the circumstances of each occasion.

_________________________________________________________________________________________________

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REFERENCES: Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer references.

Name Position Company Work Relationship Phone

Please list the names of personal references (not previous employers or relatives) who know you well that we may contact

Name Occupation Address Phone # of Years Known

In understand that neither this application nor any communication by a management representative in intended to create or does create a contract of employment, offer, or promise of employment for a definite term. I acknowledge that if hired, employment is on an at-will basis in accordance with state law. This means, Circle-E is free to terminate my employment at any time, with or without cause or advance notice. I agree to conform to the rules and regulations of Circle-E, and I understand that the company has complete discretion to modify such rules and regulations at any time.

I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license and automobile liability insurance in an amount equal to the minimum required by Texas state law.

I understand that Circle-E is a drug-free workplace. I understand that pre-employment (post offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to random drug testing and or post-accident drug/alcohol testing to comply with Circle-E policies.

If employed by Circle-E, I understand and agree that the Company, to the extent permitted by law, I may be required to sign confidentiality, non-compete, and/or conflict of interest statement.

I certify that all information on this application, my resume, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any false information or omitted information may result in disqualification from consideration for employment or if employed; disciplinary action or dismissal may occur.

I authorize and consent to any party or agency contacted by this employer to furnish the above mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by law, any party delivering information to the Company or its authorized representative pursuant to this authorization from any liabilities, claims, charges, or causes of action which I may have as a result of the disclosure of the above requested information.

If hired, I understand that I will be required to provide genuine documentation establishing my identity and eligibility to be legally employed in the United States by Circle-E. I also understand this Company employs only individuals who are legally eligible to work in the US.

I authorize a criminal background check and motor vehicle history to be run on myself to be considered for employment.

Applicant Signature ________________________________________________________ Date __________________________

At Circle-E., we want to hire only the best. Please answer the following questions and fill out the application. We will use the above information to run a Background Check, Driving Record verification and Credit History report, so make sure and complete the boxes above.

1. Have you ever been arrested? If so, what for and when? List each occurrence.

2. Have you ever been convicted of a felony? If so, for what reason and when was the conviction? List each occurrence.

3. Have you ever been in a car wreck? If so, was it legally your fault? When did it happen? List each occurrence.

4. Can you lift 60 lbs.? Yes _____________ No _____________
5. Can you lift 100 lbs.? Yes _____________ No _____________

6. Have you ever declared Bankruptcy? If so, when and why? List each occurrence.

7. Have you ever filed a Worker’s Comp. Claim? If so, explain and include when each occurrence happened.

8. Have you ever sued anyone? If so, when and why? List each occurrence.

Signature_____________________________________________________ Date ____________________

By signing this form, Circle-E. has your permission to perform your Background Check, Driving Record verification and Credit History report.

Maintenance Proficiency Test

Print Name _____________________

What are the different names of texture types?

How many texture types can you personally complete?

What different types of adhesives exist for ceramic tile and what are their applications?

What does “six sack,“ “five sack” and “four sack” mean in relation to each other, and when is each one used?

How is a metal stud attached to a concrete surface?

What is the process for painting over existing paint?

If you personally know how to use 40-minute mud, how is it used?

What is the process for repairing a hole in a sheetrock wall that is 4” in diameter?

What is the process for cutting Formica?

Can you personally produce trim carpentry? Can you cut compound angles?

If so… 1) Name the tool to cut compound angles, 2) Name the tools you need for a trim job.

Where is FRP used?

Have you personally used a Hotsy machine?

What type of paint brush do you prefer to cut in your edges?

What is Flotrol?

How is a metal door painted to produce a smooth finish?

What is the first step in the process of measuring for the hinges of a door?

How many square feet of ceramic tile can you personally lay in 1 hour?

How is a pothole (generally) repaired in a concrete parking lot?

What type of work are you most comfortable with? What type of work have you done?