Paul Jackson & Son/Application

administration application

Are you over 18?*

Have you been convicted of a felony?*

Have you been released from prison in the last 7 years?

If Yes, State Details and charges

Do you have a valid driver's license?*

If you happened to be sick or have to work remote, do you have a reliable source of internet to do such?*

In case of emergency, please notify these people

Medical History

Health Questionnaire

The type of work you are applying for could be physical in nature. PJ&S does not want to put you in a situation that could harm you or aggravate your ailment. Do you have or have you ever had any of the following?

Please check EACH of the following items YES or NO. Please list details to any item answered YES on the space supplied below. You must answer ALL QUESTIONS!

Do you have any physical ailments that would prevent you from doing your office job? If so, please list all that apply. If this does not apply to you, please list N/A.*

Do you have any visual impairments?*

Do you wear glasses?*

Do you have any hearing impairments?*

Do you wear a hearing aid?*

Do you have any medical conditions that should be noted? If so, please list all that apply. If this does not apply to you, please list N/A.*

Please list any allergies that you may have.*

Do you use an Epi-pen?*

Please list any major procedures that you have had within the last 12-18 months. If this does not apply to you, please list N/A.*

Please list any treatments that you have had within the last 12-18 months. If this does not apply to you, please list N/A.*

In addition to your answers to the medical questions provided above, please list any medical information that you feel should be known. If this does not apply to you, please list N/A.*

Education Background

What is the highest grade that you have successfully completed?*

If you selected "Other" to the previous question, please explain. If this does not apply to you, please list N/A.*

Name of High School attended If this does not apply to you, please list N/A*

Address of High School attended. If this does not apply to you, please list N/A*

Do you have a college degree?*

If you have a college degree, please list your major and minor. If this does not apply to you, please list N/A.*

If you attended college, what year did you graduate? If this does not apply to you, please list N/A.*

Name of College attended If this does not apply to you, please list N/A*

Address of College attended If this does not apply to you, please list N/A*

Name of Trade / Business School attended If this does not apply to you, please list N/A*

Address of Trade / Business School attended. If this does not apply to you, please list N/A*

PJ&S Employment Background

Have you ever been employed by Paul Jackson & Son, INC.?*

If so, who was your supervisor?

Reason for leaving:

Do you have any family members working for Paul Jackson & Son, INC.?*

If yes, who?

Personal References

List three personal references (other than relatives or employers)

Job Specifics

Can you successfully operate Microsoft Word?*

Successfully operate Microsoft Excel?*

Do you have experience with CAD?*

Do you have experience with Revit?*

Do you have previous experience insurance?*

Do you have previous experience in accounting?*

Do you have previous experience in customer service?*

Do you have previous experience in creating, updating, and managing schedule(s)?*

Do you have previous experience in time management?*

Do you have previous experience in working alongside others in a team environment?*

Do you have previous experience in strategic planning?*

Do you have previous experience in the construction industry?*

Can you successfully operate a desk computer?*

Can you successfully operate a laptop?*

Please list any other tools and or devices that you can operate effectively*

Please list any applicable certifications, training, and or classes that you have successfully completed, and feel would be beneficial for the hiring staff to know*

Please list any other Software programs that you operate effectively (BlueBeam, Procore, Microsoft Project, etc.)*

Please list your most desired position that you are applying for*

Please list your desired salary range / hourly rate*

Please list any other information that you feel may be important for the Paul Jackson & Son, Inc. hiring staff to know*

Most Recent Employer

List Most Recent Employer*

Date of Employment*

Phone Number*

Job Description*

Supervisor*

Salary Leaving*

Reason for Leaving*

Does PJ&S Have Permission To Call & Verify Information*

If No, Give Reason

If you are hired by Paul Jackson & Son, Inc. what is the earliest date that you could start?*

Do you have reliable personal transportation?*

If not, how would you get to work?

How did you hear about Paul Jackson & Son, Inc.*

Please explain why you have chosen to apply to ben an employee at Paul Jackson & Son, Inc.*

Application for employment - Agreement

READ THE FOLLOWING STATEMENT AND SIGN BELOW

I have not been and am not now a member of any organization which advocates the forceful overthrow of the U.S. Government.

I also state that I am a legal citizen of the United States of America.

If not a legal citizen, I hereby state that I am in the United States of America legally and if hired will supply PJ&S copies of papers showing that I am legally in the United States of America. I also agree that, if hired, I will notify PJ&S immediately when this legal status changes.

I authorize you to make such investigations and inquiries of my personal, employment, financial or medical history and other related matters as may be necessary in arriving at an employment decision.

I hereby authorize Employers, Schools, Doctors, Hospitals or Persons to give any information regarding me in responding to inquiries in connection with my application. Upon my written request, within a reasonable time, additional disclosure concerning the nature and scope of the information requested will be provided.

I understand that misrepresentation or omission of the facts called for herein will be sufficient cause for cancellation of the application and/or for termination from the Company's service if I have been employed. I also understand that employment is subject to a satisfactory physical examination, including taking a drug test if requested, by a physician if PJ&S deems necessary.

I hereby acknowledge that any action, damage and liability caused by the misrepresentation or omission of any requested information on this application will be the applicant's responsibility. PJ&S will be reimbursed by the applicant for any cost due to misrepresentation of the facts by the applicant.

SIGNATURE OF APPLICANT*

TODAY'S DATE*

***PLEASE NOTE THAT ENTIRE APPLICATION MUST BE FILLED OUT FOR CONSIDERATION - IF “NO” ANSWER APPLIES, PUT N/A IN BLANK. LEAVE NO BLANK SPACES. ***

Would you like for your application to be shared among Paul Jackson & Son Subsidiaries for future employment opportunities as they become available?*