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Employment Application
An Equal Opportunity Employer
Here at Eenigenburg Exteriors, Inc. we value every team member. We believe it is important to build lasting relationships. This is why our hiring process is so thorough. Once your application has been submitted, you will be contacted either by phone or mail, acknowledging that we are in the process of evaluating your application. When we contact you, we will inform you of the next step.
Personal Information
First Name*
Middle Initial
Last Name*
Preferred Name
Birth Date*
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Email*

Applicant Statement & Consent
I certify that the information I have provided in this application is true, correct, and complete to the best of my knowledge and is subject to confirmation by Eenigenburg Exteriors, Inc. I authorize Eenigenburg Exteriors to investigate all statements contained in this application and to contact and obtain information from all references ( personal and professional), employers, and educational institutions. I waive any and all rights I have regarding Eenigenburg Exteriors for gathering and using such information in the hiring process and all other persons, companies, or organizations for furnishing such information about me. I understand that many falsified statements given in this application or during the interview process is just cause for Eenigenburg Exteriors, Inc. to cancel further consideration of this application or if hired, ground for immediate discharge whenever the information is discovered. I hereby understand that if I am hired, my employment relationship with Eenigenburg Exteriors, Inc. is of an “at will” nature. This means that I am free to resign at any time with or without cause and Eenigenburg Exteriors, Inc. reserves the same right to terminate my employment at any time with or without cause. If I am hired, I understand that I must provide proof of identity and legal authority to work in the United States and am required to complete an I-9 form. I understand that I will be required to take a drug screen and that a criminal background check will be ran. I certify that I have read, understand and accept all terms of the above Applicant Statement.
Consent
I agree to the application policy.

Employment Desired
What position are you applying for?
Why are you interested in being employed with Eenigenburg Exteriors?*
Type of Employment Desired:*
How many hours would you prefer to work each week?
What is your desired salary range?*
When necessary, are you available to work Saturdays
How were you referred to Eenigenburg Exteriors?

Background Information
Are you legally eligible to work in the United States?*
If you are under 18, can you furnish a work permit?*
Have you ever pled guilty or no contest to, or been convicted of a crime?*
If yes, provide date and details
Answering yes to this question does not automatically disqualify you for employment.
Do you have a valid driver's license?*
Do you have dependable transportation to and from work?*
Have you had any accidents during the past three years?*
Have you had any moving violations during the past three years?*
Have you ever been in the Armed Forces?*
Are you now a member of the National Guard?*
Specialty
Date Entered
MM slash DD slash YYYY
Date Discharged
MM slash DD slash YYYY

If your active, please leave blank

Work Experience
Please list all of your work experience, starting with your present or more recent employment. Complete in full even if your resume is enclosed.
Present/Most Recent Employer*
Address
City State ZIP Code
Your Title
Starting Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Please include a short summary of your main job duties:
Supervisor's Name
May we contact for a reference?
If not, why?
Starting Salary
Ending Salary
Reason for leaving or seeking other employment:
Work Experience #2
Next Previous Employer
Address
City State ZIP Code
Your Title
Starting Date
MM slash DD slash YYYY
End Date
MM slash DD slash YYYY
Please include a short summary of your main job duties:
Supervisor's Name
Starting Salary
Ending Salary
May we contact for a reference?
If not, why?
Reason for leaving or seeking other employment:

Educational Background
High School Name
Degree type:
Address
City State
If still attending, Please list anticipated completion date:
Please list all trade, business, vocational and/or technical schools, junior colleges, colleges/universities, and graduate schools attended/attending beginning with the most recent:
Current/Recent Institution Name
Address
City State
Field of Study
Graduate:
Graduation date

If not completed, anticipated graduation date.
If you have any additional information or certificates, please upload them bellow.
File
Max. file size: 100 MB.

Affirmative Action Voluntary Information
An Equal Opportunity Employer
Eenigenburg Exteriors, Inc. considers all applicants without regard to race, color, religion, sex, national origin, citizenship, age mental or physical disabilities, veteran/reserve/national guard or any other similarly protected status. We comply with all applicable laws in our employment practices and do not discriminate. This form should be completed by the applicant on a voluntary basis. This is not considered in the hiring process and is kept separate from the application. It allows us to comply with government recordkeeping, reporting, and other legal obligations. This is merely an applicant data survey that should be completed by the applicant voluntarily. If you do not complete this form, it will not disqualify you from being considered for employment.
Affirmative Action Voluntary Information
An Equal Opportunity Employer
First Name*
Middle Initial
Last Name*
Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Birth Date*
MM slash DD slash YYYY
Employment Desired
Position applied for:
Equal Employment Opportunity Information
Gender
Are you a U.S. Veteran?
Please indicate one of the following groups:

Eenigenburg Exteriors Employment Application

Step 1 of 7

Employment Application

Personal Information

Applicant Statement & Consent

Employment Desired

Background Information

Work Experience

Work Experience #2

Educational Background

Affirmative Action Voluntary Information

Affirmative Action Voluntary Information

Employment Desired

Equal Employment Opportunity Information

Company

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