Employment

Daley Tower Service, Inc. considers applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.
Position(s) Applied For:
Date of Application:    
 
How did you learn about us? Advertisement Friend Inquiry Employment Agency Relative Other
 
*First Name *Last Name Middle Name  
Address Number Street City State
Zip Code Telephone No: Home Cell:  
 
Best time to contact you at Home : AM PM
Have you ever filed an application with us before? If yes, give date Yes Date: No
Have you ever been employed with us before? If yes, give date Yes Date: No
Do any of your friends or relatives, other than spouse, work here? If yes – state name, relationship and location Yes Mention name,relationship and location: No
Are you currently employed? Yes: No
May we contact your present employer? Yes: No
Are you prevented from lawfully becoming employed in this Country because of Visa or Immigration Status? Proof of citizenship or immigration status will be required upon employment. Yes: No
Date available for work:
What is your desired salary range?    
   
Are you currently on “lay-off” status and subject to recall? Yes: No
Are you able to travel if the job requires? Yes: No
EDUCATION
SCHOOL NAME and
ADDRESS
COURSE OF
STUDY
YEAR
COMPLETED
DIPLOMA/
DEGREE
HIGH SCHOOL
GRADUATE/
PROFESSIONAL
OTHER
WORK EXPERIENCE
Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
Employer: Date Employed

Work Performed:

Start: End:
Telephone Numbers(s):
Starting Job Title: Hourly Rate/Salary
Start Final

Present Job Title:

 
Supervisor Name: May we Contact? Yes No
Reason for Leaving:

 

Employer: Date Employed

Work Performed:

Start: End:
Telephone Numbers(s):
Starting Job Title: Hourly Rate/Salary
Start Final

Present Job Title:

 
Supervisor Name: May we Contact? Yes No
Reason for Leaving:

 

Employer: Date Employed

Work Performed:

Start: End:
Telephone Numbers(s):
Starting Job Title: Hourly Rate/Salary
Start Final

Present Job Title:

 
Supervisor Name: May we Contact? Yes No
Reason for Leaving:

 

Comments: Include explanation of any gaps in employment:
APPLICANT NAME: DATE:
Describe any specialized training, apprenticeship, skills and extra-curricular activities.
Describe any job-related training received in the United States military.
Specialized Skills (Skills/Equipment Operated etc.)
Terminal Spreadsheet Production/Mobile
Machinery (List)
Other (List)
PC/MAC Word Processing
Typewriter Shorthand
State any additional information you feel may be helpful to us in considering your application:
Note
Note to Applicants: DO NOT ANSWER THIS QUESTION UNLESS YOU HAVE BEEN INFORMED
ABOUT THE REQUIREMENTS OF THE JOB FOR WHICH YOU ARE APPLYING.
Are you capable of performing in a reasonable manner, with or without a reasonable accommodation,
the activities involved in the job or occupation for which you have applied? A review of the activities
involved in such a job or occupation has been given. Yes No

PERSONAL/PROFESSIONAL REFERENCES Do not include family members or past supervisors.
NAME
PHONE NUMBER(S) BEST TIME TO CALL OCCUPATION
1.
2.
3.

APPLICANT’S STATEMENT

I certify that answers given herein are true and complete.

I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.

This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.

I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer my discharge Employee at anytime with lawful reason. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.

In the event of employment, I understand that false or misleading information given in my application or Interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.


*Signature of Applicant Date *Date