Pfaff Properties, LLC
5195 W. Main Street, PO Box 105, Ireland, IN 47545
Job Application
1
Personal
Information
2
Position/
Availability
3
Education
4
Employment
History
5
Military
Service
6
Professional
References
First name
Middle name
Last name
Phone
Social Security Number
Email
Address
Have you ever been convicted of a felony?
Yes
No
if yes, explain
Have you ever worked for this company?
Yes
No
if yes, when?
Are you eligible to work in the U.S.?
Yes
No
Do you have a valid driver’s license?
Yes
No
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Position Applied For
Position type
Full Time
Part Time
Temporary
Expected wage per hour
Available hours/days
Mon
Tue
Wed
Thu
Fri
Sat
Sun
Available schedule
From
To
Is there any reason why you would not be able to perform all the job duties of the applied position
Yes
No
if yes, explain
How did you hear about Pfaff Construction?
Person
Website
Newspaper
Walk in
Other
what other?
Do you have relatives or friends who work for this company
Yes
No
if yes, list names
Why do you want to work for this company?
Available Start Date
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High School
Name
Years
Did you Graduate?
Yes
No
Diploma
College
Name
Years
Did you Graduate?
Yes
No
Degree
Business/Trade School
Name
Years
Did you Graduate?
Yes
No
Degree
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Present or Last
Position
Employer
Supervisor
Address
Responsibilities
Starting Salary
Ending Salary
From
To
Reason for Leaving
May we contact your previous employer?
Yes
No
Previous - 1
Position
Employer
Supervisor
Address
Responsibilities
Starting Salary
Ending Salary
From
To
Reason for Leaving
May we contact your previous employer?
Yes
No
Previous - 2
Position
Employer
Supervisor
Address
Responsibilities
Starting Salary
Ending Salary
From
To
Reason for Leaving
May we contact your previous employer?
Yes
No
Previous - 3
Position
Employer
Supervisor
Address
Responsibilities
Starting Salary
Ending Salary
From
To
Reason for Leaving
May we contact your previous employer?
Yes
No
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Branch
From
To
Rank at discharge
Duties Performed
Training Received
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Professional References
Name
Relationship
Company
Name
Relationship
Company
Name
Relationship
Company
I certify that all information contained in this job application form is true and correct to the best of my knowledge. I understand that any willful misrepresentation, omission or falsification may constitute a reason for not hiring me or grounds for termination of employment at any point in the future. I authorize the verification of any or all information concerning me from school officials, former employers, and other sources.
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