Titan Stairs - A Step Above

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POSITION APPLIED FOR:
HOW DID YOU FIND US?
SPECIFY IF OTHER:
What percentage of installation tools do you estimate you currently own?
Do you currently own a vehicle with which you can transport tools and materials from the shop to the jobsite?	Yes No

1.	Title :
2.	Full Name :
3.	Marital Status :
4.	Identification Type : Identification #:
5.	Date of Birth : / / (MM/DD/YYYY)
6.	Sex :
7.	E-mail Address:
8.	Street Address :
	Suite or Apartment: #
	City:	State
	Zip Code :	Country :
9.	Phone (Daytime): Phone (Evening): Phone (Mobile): Pager #:

Are you currently with this employer? Yes No
Employer	Dates Employed
	From	To
Address (City, State, Zip)
Job Title
Salary $ Hourly Monthly Annually
Supervisor
Reason for Leaving
Work Performed:
May we Contact? Telephone Number(s)
Please indicate those individuals you do *NOT* want us to contact at your present employer.

Employer	Dates Employed
	From	To
Address (City, State, Zip)
Starting/Present Job Title
Salary Hourly Monthly Annually
Supervisor
Reason for Leaving
Work Performed:
May we Contact? Telephone Number(s)

Employer	Dates Employed
	From	To
Address (City, State, Zip)
Starting/Present Job Title
Salary Hourly Monthly Annually
Supervisor
Reason for Leaving
Work Performed:
May we Contact? Telephone Number(s)

Have you been discharged from any employment or asked to resign?

If yes, explain:

Comments (Explain any gaps in employment):

1.	Do you consent to be screened for criminal and other convictions?
2.	Have you ever been convicted in a court of law in any country? Note: Conviction will not necessarily disqualify an applicant from employment.
3.	Have you been charged with any offence in a court of law in any country for which the outcome is not yet known?
4.	Have you ever left an employer without giving adequate notification?
5.	Have you been in the employment of Titan Stairs before?
6.	Which Location? Why did you leave? If other :
7.	If "YES" to Questions 2, 3 or 4 above, please give details below :

References - List the names of three people not related to you, whom you have know for at least a year.

The facts contained in this application are true and complete to the best of my knowledge and I understand that should I be employed by Titan Stairs, falsified claims in this application are grounds for termination. I authorize the investigation of all statements contained in this application. I authorize the references and employers listed above to give you any and all information concerning my previous employment and any information they may have that is pertinent, personal or otherwise, and release the company from all liability for any damage that my result from using such information.

I understand that any agreement for employment for any specified period of time must be made in writing by an authorized company representative.

This waiver does not permit the release or use of disability related or medical information in a manner prohibited by the Americans with Disabilities Act (ADA) and other relevant federal and state laws.

By typing my name below I am stating that the above information is correct and that my typed name represents my legal signature.

	Name of School/College/University Attended	From (Year)	To (Year)	Grad (Y/N)
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5.

	References - List Names	Phone #	Relationship	Years Known
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