Employee Application

Last Name____________________________ First Name ____________________________Middle

Initial_______

Street
Address__________________________________________________________________________________

City_______________________________________________ State _______________

Zip______________

Phone Number _____________________________Other Phone Number if Needed

_________________________

Date Available _________________________ Social Security Number

____________________________________

Have you ever been employed with us? __________ Are you a legal citizen of U.S.?
_______________

Education
High School ___________________________________________ Did you Graduate?
_________________

Additional Education ___________________________________ Did you Graduate?

_________________
_____________________________________________________________________________________________

Work Experience-Start with most recent employer

Company ___________________________________________________ Phone
____________________________

City & State _____________________________________________ Supervisor

_____________________________

Job Title __________________________________Starting Salary ______________ Ending Salary

_____________

Responsibilities
________________________________________________________________________________

Starting Date ________________ Ending Date _________________ Reason for Leaving

______________________

May we contact your previous employer? _____________

Have you ever been arrested or convicted of any crime? ____________ If the answer is yes,
please provide details:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Any Additional Information that we should know? (Skills, experience, military service, etc.)
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________

By signing below, I understand that any misstatement, omission or misleading information given on my application ,
interview or in connection with other Company records may result in the rejection of my application, the withdrawal
of any offer of employment or my dismissal from employment.

I understand that if employed by Caudill Truss & Metal Co., I will be an employee at will, which means that I can
voluntarily end employment or be terminated at any time for any reason at all.

Signature _____________________________________________________________________________ Date

__________________________