Job Application "*" indicates required fields Position DetailsDate of Application* MM slash DD slash YYYY Type of Work Applied For* Position Applied For*Construction Administrative Assistance OverviewElectrical Service HelpersExperienced Plumber Helper/MechanicsHuman Resources/Accounts PayablesPlumbing Service HelpersResidential HVAC Installers and TechniciansService Coordinators/DispatchersPipefitter Top Helper/Mechanical PipefitterHow did you learn about us?* Advertisement Friend Walk-in Employment Agency Relative Google Other What publication? Please specify Referred by What led you to have a special interest in our company?* Personal InformationName* First Middle Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Telephone*Email* If hired, can you provide proof that you are 18 years of age or older?* Yes No Do you have dependable transportation to get to work?* Yes No Driver's License InformationDo you currently have a valid Driver's License?* Yes No Driver's License No.* State Issued* Expiration Date* Do you have auto insurance?* Yes No Ever been cancelled or renewal refused?* Yes No Has your driver's license ever been suspended or revoked?* Yes No Have you been involved in any vehicle accidents within the past 3 years?* Yes No Do you have any safety awards for "no accident" driving?* Yes No Personal/Job HistoryHave you ever applied for a job with Bolton?* Yes No If yes, give date* MM slash DD slash YYYY Have you ever been employed with Bolton?* Yes No If yes, give date* MM slash DD slash YYYY Are you employed now?* Yes No May we contact your present employer?* Yes No Can you submit verification or your legal right to work in the U.S.?* Yes No Date you would be available to start work* Are you available to work* Full Time Part Time Temporary Are you on layoff subject to recall?* Yes No Can you travel if the job requires it?* Yes No Have you ever been convicted of a felony?* Yes No If yes, please explain (An affirmative answer will not automatically disqualify you from being considered as a candidate for employment) Have you received any type of specialized training of education that may be pertinent to this application? (If so, Please explain) EducationSchool Name Highest Level of Education Completed? Diploma/Degree Describe Source of Study Describe specialized training, apprenticeship, skills, and extra curricular activities*State any additional information you feel may be helpful to us in considering your application.* Employment History Starting with your last or present job first, list your last four employers. Include military service assignments and volunteer activities. Exclude organization names that indicate race, color, religion, sex, or national origin, handicap or other protected status. (1) EmployerAddress* Phone*Position* Reason for Leaving:* Date Employment Started MM slash DD slash YYYY Date Employment Ended MM slash DD slash YYYY Starting Salary Rate* Final Salary Rate* Work performed* Supervisor Name* Supervisor Phone:* May we contact?* Yes No (2) EmployerAddress PhonePosition Reason for Leaving: Date Employment Started MM slash DD slash YYYY Date Employment Ended MM slash DD slash YYYY Starting Salary Rate Final Salary Rate Work performed Supervisor Name: Supervisor Phone: May we contact? Yes No (3) EmployerAddress PhonePosition Reason for Leaving: Date Employment Started MM slash DD slash YYYY Date Employment Ended MM slash DD slash YYYY Starting Salary Rate Final Salary Rate Work performed Supervisor Name Supervisor Phone: May we contact? Yes No (4) EmployerAddress PhonePosition Reason for Leaving: Date Employment Started MM slash DD slash YYYY Date Employment Ended MM slash DD slash YYYY Starting Salary Rate Final Salary Rate Work performed Supervisor Name Supervisor Phone: May we contact? Yes No List any other special skills and qualifications, or job-related experience acquired from other employment, including skills in operating machines or construction equipment:* Wage/ Salary preferred for desired position:* ReferencesPlease give the names, addresses, and telephone numbers of three professional references you are not related to you.*Resume UploadAccepted file types: pdf, doc, docx, Max. file size: 128 MB. Please Read Carefully and sign I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as it may be necessary in arriving a t an employment decision. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that if hired, I am required to abide by all policies and procedures of Bolton Drug-Free Worksite It is the intent of Bolton to provide a working environment free from drug and alcohol use and abuse. All applicants for employment with Bolton will be required to submit to a pre-employment test, related to drug and alcohol use and abuse. Any applicant who refuses to submit to such testing will be regarded as not successfully completing the application process and will not be hired. Applicants whose test is confirmed positive will be dropped from consideration fo r employment. Signature Date MM slash DD slash YYYY Thank You for your application for employment with Bolton. If, after review of your qualifications, we are unable to offer you employment, your application will be placed in our active file for (30) thirty days. If you are available for employment after this time and would like to be reconsidered for employment, we ask that you complete a new application so that we have accurate and up-date background information. Submit Your ApplicationNameThis field is for validation purposes and should be left unchanged.