Circle B Measurement & Fabrication Career Opportunities

Today's Date *

Last Name *

First Name *

Middle Initial *

Street Address *

Apartment / Unit

City *

State *

ZIP *

E-mail Address *

Phone *

What position(s) are you applying for? *

Type of employment *

Full Time

Part Time

Desired annual salary *

Days avaliable to work *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

Hours avaliable to work *

Are you authorized to work in the United States? *

Yes

No

If hired, can you furnish proof of eligibility to work in the U.S.? *

Yes

No

If hired, can you furnish proof you are 18 years of age or older? *

Yes

No

Do you have a valid driver's license? *

Yes

No

Driver's license number *

State *

Do you currently hold any other licenses/certifications? *

Yes

No

What type of license? *

State of license * Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Do you currently have any other technical, trade license, or skills? *

Yes

No

Please list other technical, trade license(s), or skills *

How were you referred to Circle B? *

For employee referrals, please list the employee's name.

Δ

All information provided on this application will be checked. However, your present employer will not be contacted without your consent. Failure to include important information may prohibit you from employment.