Employment Application   If you are interested in working with our growing company, please take a moment to complete the online application below. Stetz Construction is an equal opportunity employer and will consider all applicants for all positions equally without regard to their sex, age, color, religion, national origin, veteran status, or disability as provided in the Americans With Disabilities Act.   Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered.   Personal Information What Position? Email Address ** REQUIRED First Name / Last Name   ** REQUIRED Telephone / Fax   Address ** REQUIRED City / State / Zip   WA OR --- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK PA RI SC SD TN TX UT VT VA WV WI WY   ** REQUIRED Social Security Number -- ** REQUIRED US Citizen or Legally Work Eligible? Yes No Over 18 Years of Age? Yes No Ever Convicted of a Crime (including DWI)? No Yes..explain below If Answering Yes Above, State the Offense, Date, Location and Disposition Do you have the ability, with or without reasonable accommodation, to work overtime or to travel if travel and/or overtime are required by the job for which you are applying? Yes No If Answering No, Please Explain.. Would You Be Willing and Able to Relocate? Yes No Drivers License # WA OR --- AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK PA RI SC SD TN TX UT VT VA WV WI WY Valid? Yes No   Employment Desired Are You Seeking? Full Time Part Time Temporary Summer/Weekends Date Available to Start? January February March April May June July August September October November December 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2022 2023 2024 Salary Desired? Have You Ever Applied to Our Company Before? No Yes Have You Ever Worked for Our Company Before? No Yes If Answering Yes, Please State When.. Are you Currently Employed? Yes No If Yes, May We Contact Your Present Employer? Yes No Employer: Are There Any Days/Hours You Would Be Unable to Work? No Yes When?   Education High School Graduate? Yes No Dates: High School Courses College Graduate? Yes No Dates: College Courses/Diplomas Trade School Graduate? Yes No Dates: Trade School Courses/Diplomas Additional Schooling/Training?   Work History List names of employers in consecutive order with present or last employer first. Account for all periods of time including military service and any periods of unemployment. If self-employed, give firms' name and supply business references. Reference #1 Employer Name? Telephone / Fax   Address City / State / Zip     Nature of Business? Name/Title of Supervisor? Your Job Title? Duties? Reason for Leaving? Dates Employed? through Starting / Ending Pay? Reference #2 Employer Name? Telephone / Fax   Address City / State / Zip     Nature of Business? Name/Title of Supervisor? Your Job Title? Duties? Reason for Leaving? Dates Employed? through Starting / Ending Pay? Reference #3 Employer Name? Telephone / Fax   Address City / State / Zip     Nature of Business? Name/Title of Supervisor? Your Job Title? Duties? Reason for Leaving? Dates Employed? through Starting / Ending Pay? Reference #4 Employer Name? Telephone / Fax   Address City / State / Zip     Nature of Business? Name/Title of Supervisor? Your Job Title? Duties? Reason for Leaving? Dates Employed? through Starting / Ending Pay?   Military Have You Ever Served in the Military? No Yes...complete below Service Branch? None Army Navy Marines Air Force Coast Guard Other Date Entered? Date Separated? Final Rank?   Supplemental Employment Information Have You Ever Been Fired or Asked to Resign? No Yes If Answering Yes, Please Explain..   Special Skills What Language(s) Do You Speak Fluently? Use this space below to describe why you are interested in working for our company and to list those skills and abilities which you feel particulary qualify you for a position with Northwest Abatement Services, Inc.   References Provide three references, not relatives or former employers:   Name Address Occupation Telephone