As an Equal Opportunity/Affirmative Action Employer, We Appreciate Your Interest in PWI

As an Equal Opportunity/Affirmative Action Employer, We Appreciate Your Interest in PWI

Dear Applicant:

Thank you for your interest in Precision Walls, Inc/Advanced Exterior Systems. The following packet includes the documents required by PWI/AES for you to complete in order to be considered for employment. We are delighted that you are interested in employment through our company and look forward to evaluating your application. Please be aware that to be considered for any position you will need to complete this application in its entirety.

Documents Enclosed:

 Cover Page

Notice of E-Verify

Application of Employment (3 pages)

Voluntary Self Identification Form (1 page)

Tool Requirements to Start Work (1 page)

Drug-Free Environment (1 page)

HIRE Act (Form W- 11) (1 page)

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For Office Use Only

Interviewer / Date / Result/Reason

These documents need to be kept in the Employee’s file that is kept at each branch. Applicant Flow logs should be updated after each new employee applies and should be updated when contact is made and interviews are given. A new hire report should also be run on new employees and re-hires after six months. These records must be kept for two years.

EMPLOYMENT APPLICATION

INSTRUCTIONS TO APPLICANT: / TERMS OF EMPLOYMENT:
  1. Please print.
  2. Complete all applicable spaces on application.
  3. Completing an application does not imply that you will be interviewed or hired, but that you will be considered for vacancies based upon the stated position desired and other related positions
  4. Applications are considered active for 60 days.
/ If you are offered employment you may be asked to:
  • Pass a background check (if applicable)
  • Pass a drug screening
  • Sign a non-compete (if applicable)
  • Show proof of citizenship or immigration upon employment (I-9)

PERSONAL DATA / NAME______
LAST FIRST MIDDLE
______
PRESENT Address
ADDRESS ( ) -
Apt, No. PHONE NO.
CITY STATE ZIP CODE ( ) -
ALTERNATE PHONE NO
PERMANENT
ADDRESS ______
(if different than above)NO. AND STREETApt # EMAIL ADDESS
CITY STATE ZIP CODE
*IF REQUIRED FOR POSITION APPLYING FOR:
DRIVER’S LICENSE #: STATE ISSUED: EXPIRATION DATE:
POSITION / POSITION APPLYING FOR: / EXPECTED SALARY
$ / DATE AVAILABLE
ARE YOU WILLING
TO RELOCATEYES NO
HOW WERE YOU REFERRED TO THE COMPANY? / CAN YOU TRAVEL
IF THE JOB REQUIRES IT?YES NO
HAVE YOU PREVIOUSLY WORKED FOR PWI/AES? YES NO
IF YES, PLEASE PROVIDE: DATES OF PREVIOUS EMPLOYMENT:______LOCATION/BRANCH:______
TYPE OF EMPLOYMENT DESIRED:
FULL-TIME PART-TIME TEMP CO-OP/INTERN / ARE YOU 18 YEARS OF AGE OR OLDER? YES NO
EDUCATION /
DO YOU HAVE A HIGH SCHOOL DIPLOMA OR GED? YES NO
PLEASE INDICATE THE HIGHEST LEVEL OR MOST SIGNIFICANT EVENT IN YOUR EDUCATIONAL HISTORY BELOW:
LEVEL / NAME / DID YOU GRADUATE? / DEGREE / MAJOR AREAS OF STUDY
LOCATION
Name: / YES
NO
City/State:
Name: / YES
NO
City/State:

LIST THE MOST RECENT EMPLOYMENT FIRST. INCLUDE MILITARY AND SIGNIFICANT SUMMER AND PART-TIME JOBS.

WORK EXPERIENCE / COMPANY / ADDRESS / BUSINESS/TRADE
FROM (MO/YR) / TO (MO/YR) / TITLE / SUPERVISOR’S NAME AND TITLE
STARTING SALARY / LAST SALARY / ADDITIONAL COMPENSATION
BRIEFLY HIGHLIGHT DUTIES AND RESPONSIBILITIES (do not write “see resume”).
REASON FOR LEAVING
MAY WE CONTACT THIS EMPLOYER? YES NO
COMPANY / ADDRESS / BUSINESS/TRADE
FROM (MO/YR) / TO (MO/YR) / TITLE / SUPERVISOR’S NAME AND TITLE
STARTING SALARY / LAST SALARY / ADDITIONAL COMPENSATION
BRIEFLY HIGHLIGHT DUTIES AND RESPONSIBILITIES (do not write “see resume”).
REASON FOR LEAVING
MAY WE CONTACT THIS EMPLOYER? YES NO
COMPANY / ADDRESS / BUSINESS/TRADE
FROM (MO/YR) / TO (MO/YR) / TITLE / SUPERVISOR’S NAME AND TITLE
STARTING SALARY / LAST SALARY / ADDITIONAL COMPENSATION
BRIEFLY HIGHLIGHT DUTIES AND RESPONSIBILITIES (do not write “see resume”).
REASON FOR LEAVING
MAY WE CONTACT THIS EMPLOYER? YES NO
COMPANY / ADDRESS / BUSINESS/TRADE
FROM (MO/YR) / TO (MO/YR) / TITLE / SUPERVISOR’S NAME AND TITLE
STARTING SALARY / LAST SALARY / ADDITIONAL COMPENSATION
BRIEFLY HIGHLIGHT DUTIES AND RESPONSIBILITIES (do not write “see resume”).
REASON FOR LEAVING
MAY WE CONTACT THIS EMPLOYER? YES NO

PLEASE PROVIDE THREE PROFESSIOANL REFERENCES. DO NOT INCLUDE FAMILY MEMBERS.

PROFESSIONAL
REFERENCES / NAME / CONTACT PHONE NUMBER
HOME OFFICE
RELATIONSHIP / E-MAIL ADDRESS
NAME / CONTACT PHONE NUMBER
HOME OFFICE
RELATIONSHIP / E-MAIL ADDRESS
NAME / CONTACT PHONE NUMBER
HOME OFFICE
RELATIONSHIP / E-MAIL ADDRESS
NAME / CONTACT PHONE NUMBER
HOME OFFICE
RELATIONSHIP / E-MAIL ADDRESS
PERSONAL / The following information concerning citizenship is furnished for the purpose of securing employment with PWI/AES, which I have been advised is engaged in the performance of contracts with the United States government and is furnished with full knowledge of Section 911 of Title 18 of the U.S. Code, which provides as follows: “Whosoever falsely and willfully represent himself/herself to be a citizen of the United States shall be fined not more than $1,000.00 or imprisoned not more than 3 years, or both.”
Can you submit proof of U.S. citizenship? YES NO If no, please explain:______
______
Note: If hired, you will be required to furnish proof of U. S. Citizenship or your
authorization to work in the U.S. as specified under applicable U.S. Immigration Laws.
If your former employment references, education or military services are under a name other than the name you provided, please indicate below:
______
Last First Middle
Have you ever been convicted under your current name or any other (i) of a felony or (ii) within the past five years of a Misdemeanor of a violent or dishonest nature or which resulted in imprisonment?
YES NO If yes, please give date, location, nature of offense and disposition:______
(Note: conviction is not necessarily a bar to employment.) ______
As an Equal Opportunity/Affirmative Action employer, we appreciate your interest in Precision Walls, Inc. /Advanced Exterior Systems. The law prohibits discrimination because of age, race, color, sex, religion, national origin and citizenship, and requires affirmative action in the hiring of minorities, women, veterans, and those individuals with disabilities.
We truly welcome your application with PWI/AES. Your signature on this application certifies that all the information provided as part of your application for employment, including without limitation, the information within, is true and complete to the best of your knowledge and that you have reviewed this entire document. Your signature below acknowledges that any false or misleading information in your application materials or interview may result in denial of employment or termination, if hired, and that any personal information requested, is requested solely for identification purposes.
Your signature also authorizes the preparation of consumer reports and/or investigative consumer reports on you for employment purposes, including without limitation, for the purpose of evaluating you for employment, promotion, reassignment and retention as an employee, at any time prior to or during your employment and without giving you any further notice. Your signature further authorizes all persons, employers, supervisors, co-workers, schools, companies, corporations, organizations, credit bureaus, courts, and any governmental, law enforcement, licensing and record-keeping agencies, and any other source of information to provide all information requested concerning your background, including any criminal records and credit history if requested, to the Company.
Your signature voluntarily and knowingly releases PWI/AES and any source of information from any and all claims, damages, losses, liabilities, costs, and expenses arising from or relating to the retrieving, preparing, and reporting of any information, including without limitation any inaccurate or incomplete information, to the fullest extent permitted by law.
Your signature certifies that you have read and understood this entire document and you agree that a copy of this document is as valid as the original.
Signature Date

VOLUNTARY SELF-IDENTIFICATION FORM

Precision Walls, Inc. /Advanced Exterior Systems is committed to employing the best staff available. Our commitment includes Affirmative Action and Equal Opportunity principles as the cornerstones to successful recruitment. To assess our efforts and to comply with State and Federal regulations, we must monitor our applicant pools. We would appreciate your assistance by completing this form. Your response is voluntary and the information provided in no way impacts a decision regarding your employment with PWI. This portion of the application will be detached from your application and filed separately.

GENDER

Male Female

RACE/ETHNIC GROUP

To assist in appropriate identification, an applicant may be included in the group to which you belong, identify with, or are regarded in the community as belonging to in accordance with the definitions below:

WHITE – (Not Hispanic or Latino)

A person having origins in any of the original people of Europe, the Middle East or North Africa.

BLACK or AFRICAN AMERICAN – (Not Hispanic or Latino)

A person having origins in any of the black racial groups of Africa.

NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER (Not Hispanic or Latino)

A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

ASIAN (Not Hispanic or Latino)

A person having origins in any of the original people of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand and Vietnam.

AMERICAN INDIAN OR ALASKA NATIVE (Not Hispanic or Latino)

A person having origins in any of the original peoples of North and South America (including Central America),

and who maintain tribal affiliation or community attachment.

TWO or MORE RACES – (Not Hispanic or Latino)

All persons who identify with more than one of the above five races

HISPANIC or LATINO

A person of Cuban, Mexican, Puerto Rican, South or Central America, or other Spanish culture or origin regardless of race.

I DO NOT WISH TO SELF-IDENTIFY

How did you hear of our opening? INTERNAL APPLICANT NEWSPAPER AD RECRUITER
EMPLOYEE REFERRAL OTHER:______

______

NAME (please print)POSITION APPLYING FOR

SIGNATUREDATE

Tool Requirements to Start Work

(Field Positions Only)

Please check off the tools that you own:

 Side Tool Pouch w/ Belt /  Nail Bag /  Hammer (regular)
 Sheetrock Hatchet /  Aviation Snips (straight) /  Tape (20-25’)
 Utility (Sheetrock) Knife /  Sheetrock Saw /  Flat Screw Driver (6”)
 Phillips Screw Driver (6”) /  100’ Drop Cord /  Screw Gun
 Hard Hat /  Steel Toed Boots/Shoes /  Tape Holder
 Sanding Pole /  Snips /  2’ Square
 Pan 12” or 14” /  Knives (Blue Steel not Stainless Steel): 1”, 4”, 6”, 8”, 10”, 12” /  4’ Level

Additional Tools for Mechanics

 6” Vise Grip Pliers /  6” Vise Grip C-Clamp Pliers (2) /  4” C-Clamps (2)
 Torpedo Level /  Plumb Bob (16 ounce) /  Chalk Box with Line
 Combination Square /  2’ Framing Square /  Speed Square
 Sheetrock Circle Cutter /  Battery Operated Drill (Torque Type) /  Drywall Router

DRUG-FREE ENVIRONMENT

Precision Walls, Inc./Advanced Exterior Systems does not tolerate the presence and use of illegal drugs or the illegal use of legal drugs in our workplace. The use, possession, distribution, or sale of controlled substances such as drugs or alcohol, or being under the influence of such controlled substances is strictly prohibited while working, while on the Company’s premises or worksites, or while operating the Company’s equipment or vehicles. In the event that an employee is prescribed with a prescription drug that affects the employee’s ability to perform their job duties, the employee should inform their supervisor. Violation of this policy will result in disciplinary action, up to and including termination.

To help ensure a safe, drug-free work environment PWI/AES, at its expense, conducts Pre-Employment, Re-Hire, For Cause, Random, or other testing as a condition of initial and/or continued employment. PWI/AES also reserves the right to require drug/alcohol testing after a work-related accident or when PWI/AES is required to do so by its customers. Investigation into drug or alcohol related issues may include a search of the employee’s workplace, person, and personal belongings on PWI/AES premises. Refusal to submit to a search will result in termination.

Any employee convicted of any crime involving workplace drug activity will be required to notify the Company within five days of the conviction.

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Form W-11 Hiring Incentives to Restore Employment (HIRE) Act

(April 2010) Employee Affidavit

Department of the Treasury ▶ Do not send this form to the IRS. Keep this form for your records.

Internal Revenue Service

To be completed by new employee. Affidavit is not valid unless employee signs it.

I certify that I have been unemployed or have not worked for anyone for more than 40 hours during the 60-day period ending on the date I began employment with this employer.

Your name Social security number

First date of employment //Name of Employer

Under penalties of perjury, I declare that I have examined this affidavit and, to the best of my knowledge and belief, it is true, correct, and complete.

YES I DO QUALIFY NO I DO NOT QUALIFY

Employee's signature Date //

Instructions to the

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Employer

Section references are to the Internal

Revenue Code.

Purpose of Form

Use Form W-1 1 to confirm that an

employee is a qualified employee under

the HIRE Act. You can use another

similar statement if it contains the

information above and the employee

signs it under penalties of perjury.

Only employees who meet all the

requirements of a qualified employee may complete this affidavit or similar

statement. You cannot claim the HIRE

Act benefits, including the payroll tax

exemption or the new hire retention

credit, unless the employee completes

A "qualified employee" is an employee

who:

•begins employment with you after

February 3, 2010, and before January 1,

2011;

•certifies by signed affidavit, or similar

statement under penalties of perjury, that

he or she has not been employed for more than 40 hours during the 60-day

period ending on the date the employee

begins employment with you;

•is not employed by you to replace another employee unless the other

employee separated from employment

voluntarily or for cause (including

downsizing); and

•is not related to you. An employee is

your sibling or stepsibling, your parent or

an ancestor of your parent, your

stepparent, your niece or nephew, your

aunt or uncle, or your in-law. An

employee also is related to you if he or

she is related to anyone who owns more

than 50% of your outstanding stock or

capital and profits interest or is your

dependent or a dependent of anyone

who owns more than 50% of your

outstanding stock or capital and profits interest.

If you are an estate or trust, see

section 51(i)(1) and section 152(d)(2) for more details.

Do not send this form to the IRS.

Keep it with your other payroll

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and signs this affidavit or similar related to you if he or she is your child or Caution and income tax records.

statement under penalties of perjury and a descendent of your child,

is otherwise a qualified employee.

Cat. No. 10744F Form W-1 1 (4-2010)

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