FORM – Pre-Interview Questionnaire

Date *

Name *

First

Middle

Last

Phone *

Email *

City of Residence *

Position Applied For *

Choose any or all that apply

Do you have any criminal history *

Yes
No

Desctibe your criminal history in as much detail as possible. *

Having a criminal history does not automatically eliminate your from consideration. Please be as specific as possible including each offence and the years they occurred.

Are you drug free *

Yes
No

Do you have a driver's license? *

Yes
No

Do you have reliable transportation? *

Yes
No

Vehicle Type *

Pickup
Car

Are you willing and able to travel? *

Yes
No

Do you have your own construction related tools? *

Yes
No

Do you have any obligations that will prevent you from working a regular weekday work schedule? *

Yes
No

Do you have anything like regularly scheduled doctor appointments, court dates, school classes or anything else that will keep you from being at work everyday during working hours or keep you from being able to travel to locations that require overnight stay?

Please describe the obligations that you have that might interfere with keeping a regular work schedule *

Briefly describe your work experience

Please check any and all of the following that you have experience with *

Lack of construction experience DOES NOT exclude you from consideration.

Have you ever had a job that involved a customer service aspect? *

Yes
No

Briefly describe the job or jobs that involved customer service *

Have you ever ran your own crew? *

Yes
No

What type of crew or crews doing what type of work? *

Would you rather work independently or as part of a team? *

Independently
Team
Either

Name of current or most recent employer *

Reason for leaving most recent employer *

Do you speak Spanish? *

Yes
No