Employment Form

Please fill out our application below or click here to download a copy of our application to fax or mail in.

Your Name (required)
Your Email (required)
Date you are available to begin employment:
Cell Phone:
Home Phone:
Address:
City:
State: Zip:    


Are you UNDER 18 years of age?

Type of work you are interested in
(check all you are interested in)
 
If other, please specify:
Do you have a valid Driver’s License?
Please list any other Lic/Certs (ie weld certs):
Please check areas where you would be willing to work:
 
Please indicate the length of projects that you will be able to accept:
 

 
Annual Salary Requirement $
and/or Hourly Salary Requirement $


Method of transportation:
Education Information:  
Are you a high school graduate?
What High School Did you attend?
Are you a college graduate?
What College did you attend?
What degree did you earn?
Previous Employment Please put most recent at top
Company Name:
Telephone:
Supervisor:
City & State:
Dates: To:
From:
Why left:
Salary:
Job Duties:  
 
Company Name:
Telephone:
Supervisor:
City & State:
Dates: To:
From:
Why left:
Salary:
Job Duties:  
 
Company Name:
Telephone:
Supervisor:
City & State:
Dates: To:
From:
Why left:
Salary:
Job Duties:  
 
Company Name:
Telephone:
Supervisor:
City & State:
Dates: To:
From:
Why left:
Salary:
Job Duties:  

Explain any period of time not accounted for in your employment record:
Physical Record: All positions require vigorous physical activity(heavy lifting/climbing,etc)

Do you have any physical or other limitations that prevent you from performing any work for which you are applying?
If yes, what can be done to accommodate your limitations?

How much can you lift on a regular basis?
Are you comfortable climbing ladders/scaffolds and grated stairways to various heights?

Have you ever been convicted of a felony or misdemeanor?
*You will not be denied employment solely because of a conviction record, unless the offense is related to the job for which you have applied. If Yes, for each conviction indicate date of conviction, nature of charge.
INDICATE SKILLS LEARNED AT PREVIOUS JOBS ETC:
How did you hear of Zaymech?

Previous Safety Training:
Summarize safety training and qualifications acquired from employment & other experience:
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