Employment Application - Traylor Industrial

Traylor Industrial LLC. is an equal opportunity employer and does not discriminate against otherwise qualified applicants on the basis of race, color, creed, religion, ancestry, age, sex, marital status, national origin, disability or handicap, or veteran status.

Personal Information

Social Security Number

Last Name

First Name

Middle Name

Address & Street

City

State

Zip Code

Cell or Home Phone Number

Do you have a Valid Driver's License?

State

Are you over 18 years old?

Are you legally eligible to work in the United States?

Education / Training

Highest Level of Education

If other, please enter below

School Name and Course Completed

Training Completed

Safety Training Completed

Please list any additional skills or certifications you feel are beneficial to this position

Employment History

Start with the most recent place of employment. Explanations are required for lengths of unemployment greater than 30 days.

Company 1

Company Name

Telephone Number

City

State

Dates Employment Started and Ended

Salary

Supervisor

Responsibilities

Reason for Leaving

May we contact this employer?

Company 2

Company Name

Telephone Number

City

State

Dates Employment Started and Ended

Salary

Supervisor

Responsibilities

Reason for Leaving

May we contact this employer?

Employment History

Please explain any/all gaps in employment greater than 30 days

Have you ever been terminated from a job for any reason involving safety?

If "Yes" please explain

References - Professional, not related

Professional Reference 1

Name

City, State

Phone

Company

Position

Professional Reference 2

Name

City, State

Phone

Company

Position

Other

Is there anything that would prohibit you from performing tasks involved with the position you are applying for?