*Name (First and Last)

*Address

*City

*State

*Zip

*Phone 1

Phone 2

Phone 3

*Preferred method of contact.

*E-mail

*Are you legally entitled to work in the U.S.?

Fill out the application form below.
Note that fields with * are required.
Kelly Custom Seamless Gutter Co.
The information you provide will be sent directly to the owner, Charlie Smith's email.
GENERAL INFORMATION
POSITION
*Position applying for

*Salary desired

*Will accept

*Date available
EDUCATION AND TRAINING
*High school graduate or GED test passed?

If no, list the highest grade completed
VETERAN INFORMATION
Branch of Service

Date of Entry

Date of Discharge
SPECIAL SKILLS
List all pertinent skills and equipment that you can operate                             (Max 1000 characters)
WORK EXPERIENCE
(Most recent first, include voluntary work and military experience)
Employer

Telephone Number

Address

Job Title

From (Month/Year)

To (Month/Year)

Hours Per Week

Last Salary

Name of Supervisor

Reason for Leaving

May We Contact This Employer?

Specific Duties
(Max 1000 Characters)
Employer

Telephone Number

Address

Job Title

From (Month/Year)

To (Month/Year)

Hours Per Week

Last Salary

Name of Supervisor

Reason for Leaving

May We Contact This Employer?

Specific Duties
(Max 1000 Characters)
Employer

Telephone Number

Address

Job Title

From (Month/Year)

To (Month/Year)

Hours Per Week

Last Salary

Name of Supervisor

Reason for Leaving

May We Contact This Employer?

Specific Duties
(Max 1000 Characters)
I certify the information in this application is true, correct, and complete.  I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal.
*Signature of Applicant
(please type name)

*Date