Application for Employment

Glenn Mechanical is dedicated to providing our employees with a safe and rewarding career if you believe you have what it takes to WIN WITH GLENN, you may submit an application for considerationby filling out the form below.

Applicant Information

Address:

Email:

Phone:

Date Available:

Desired Salary:

Position Applied For:

DOB:

Are you a citizen of the United States? Yes No

If no, are you authorized to work in the U.S.? Yes No

Have you ever been convicted of a felony? Yes No
If yes, explain.

Education

High School:

HS Address:

Dates:

Did you graduate? Yes No

College:

College Address:

Dates:

Did you graduate? Yes No

Degree:

Other:

Address:

Dates:

Did you graduate? Yes No

Degree:

References

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Full Name:

Relationship:

Company:

Phone:

Address:

Employment History

Company:

Phone:

Address:

Supervisor:

Job Title:

Dates:

Salary:

Responsibilities:

Reason for Leaving:

May we contact this previous supervisor for a reference?
Yes No

Company:

Phone:

Address:

Supervisor:

Job Title:

Dates:

Salary:

Responsibilities:

Reason for Leaving:

May we contact this previous supervisor for a reference?
Yes No

Company:

Phone:

Address:

Supervisor:

Job Title:

Dates:

Salary:

Responsibilities:

Reason for Leaving:

May we contact this previous supervisor for a reference?
Yes No

Military Services

Branch:

Dates:

Rank at Discharge:

Type of Discharge:

If other than honorable, explain:

Resume

Attach Resume:

Disclaimer and Signature

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature:
Typing your name here is your electronic signature.