Construction Supervisor Employment Application

Applicant Information

Full Name: /
Date:

Last

/

First

/

M.I.

Address:

Street Address

/

Apartment/Unit #

City

/

State

/

ZIP Code

Phone: /
Email
Date Available: /
Desired Salary:
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 worked for a non-profit? / YES / NO /
If yes, when?
Have you ever been convicted of a felony? / YES / NO
If yes, explain:
Describe your experience supervising volunteers or unskilled labor:

If applicant has a resume that they would prefer to attach for below questions, please include with application and other supporting documentation for consideration. Please include all items listed below.

Education

High School: /
Address:
From: /
To:
/
Did you graduate?
/ YES / NO /
Diploma::
College: /
Address:
From: /
To:
/
Did you graduate?
/ YES / NO /
Degree:
Other: /
Address:
From: /
To:
/

Did you graduate?

/ YES / NO /

Degree:

Employment History

Company: /

Phone:

Address: /

Supervisor:

Job Title: /

Starting Salary:

/ $ /

Ending Salary:

/ $
Responsibilities:

______

From: /

To:

/

Reason for Leaving:

May we contact your previous supervisor for a reference? / YES / NO
Company: /

Phone:

Address: /

Supervisor:

Job Title: /

Starting Salary:

/ $ /

Ending Salary:

/ $
Responsibilities:

______

From: /

To:

/

Reason for Leaving:

May we contact your previous supervisor for a reference? / YES / NO
Company: /

Phone:

Address: /

Supervisor:

Job Title: /

Starting Salary:

/ $ /

Ending Salary:

/ $
Responsibilities:

______

From: /

To:

/

Reason for Leaving:

May we contact your previous supervisor for a reference? / YES / NO

Other Related Experiences for Position Consideration: ______

______

______

______

______

______

Not-for-Profit Employment or Volunteer History

Company: /

Phone:

Address: /

Supervisor:

Job Title: /

Starting Salary:

/ $ /

Ending Salary:

/ $
Responsibilities:

______

From: /

To:

/

Reason for Leaving:

May we contact your previous supervisor for a reference? / YES / NO
Company: /

Phone:

Address: /

Supervisor:

Job Title: /

Starting Salary:

/ $ /

Ending Salary:

/ $
Responsibilities:

______

From: /

To:

/

Reason for Leaving:

May we contact your previous supervisor for a reference? / YES / NO
Company: /

Phone:

Address: /

Supervisor:

Job Title: /

Starting Salary:

/ $ /

Ending Salary:

/ $
Responsibilities:

______

From: /

To:

/

Reason for Leaving:

May we contact your previous supervisor for a reference? / YES / NO

Do you have:

Military Service

Branch: /

From:

/

To:

Rank at Discharge: /

Type of Discharge:

If other than honorable, explain:

Community Involvement

Are you currently involved in any community or volunteer activities, please explain: ______

______

______

Are you part of any board(s) or committee(s): ______

______

______

References

Please list three professional references.

Full Name: /

Relationship:

Company: /

Phone:

Email:
Full Name: /

Relationship:

Company: /

Phone:

Email:
Full Name: /

Relationship:

Company: /

Phone:

Email:

Certification 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: /

Date:

NOTE: In accordance with the American with Disabilities Act of 1990, all of the job requirements listed above are considered essential.

Habitat for Humanity of Northern Saratoga, Warren & Washington Counties is an Equal Opportunity Employer

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