Aerie Church Construction Employment

CA Lic. 575242

NV Lic. 46159

ID Lic. RCE-11325

1-800-655-9751


AERIE Employment Application
GENERAL INFORMATION
Position(s) desired:
Name:
Address:
Email:
City:	State:	Zip:
Home Phone:	Other Phone:
Social Security Number:
EDUCATION
High School:	Did you graduate?	Yes No
Other:	Did you graduate?	Yes No
Trade or skill:

Name	Phone Number	Business	Years Known
May we contact your previous employers? Yes No
REFERENCES
Give the names of 3 people not related to you whom you have known at least 1 year.

OTHER INFORMATION
Date available for work:		Part Time Full Time
Are you willing to work overtime:	Yes	No
If no, please explain:
Are you able to meet the attendance requirements of the position:	Yes	No
Are you willing to work out of town:	Yes	No
Do you have personal transportation? What type:
Driver's license number (if driving is a job function):		State:
Are you 18 years old or older:	Yes	No
Are you legally eligible for employment in this country:	Yes	No
Do you have any physical limitations that preclude you from performing any work for which you are being considered:	Yes	No
If yes, please explain:
Have you ever been convicted of a crime? Aerie reserves the right to conduct criminal background checks.	Yes	No
If yes, please explain:
Additional info you feel appropriate:

In case of emergency notify:
Phone number:

AN EQUAL OPPORTUNITY EMPLOYER

THIS IS A DRUG FREE WORKPLACE. ANYONE CONSIDERED FOR EMPLOYMENT WILL BE TESTED BEFORE THEY CAN BEGIN WORK.

Aerie Inc.

139 S. Guild Ave., Suite 101

Lodi, CA. 95240

Voice (209) 339-9751

Toll Free 800-655-9751