IC Trades Inc. Employment Application

IC Trades Inc. Phone: 800-670-6480 Fax: 800-654-5619 resume@ictrades.com


	Personal Information

*Last Name:

*First Name:

Middle Initial:

*Street Address:

*City:

*State:

Select State

*Zip Code:

*Email Address:

*Home Telephone Or
Cell Number:

- -

*Contact Number:

- - x

Social Security
Number:

*Birthday:

*Position Sought:

*Years Experience:

*Hourly Rate:

*Minimum Rate:

Have you previously
registered with IC
Trades Inc.:

Yes
No

Select At Least One Choice

*Are you legally
eligible to work in
the United States?:

Yes
No

Select At Least One Choice

*Can you perform the
essential functions
of the position you
have applied for
with or without
reasonable
accommodations?:

Yes
No
Not Applicable

Select At Least One Choice

*Do you hold any
licenses or
certifications?:

yes
No

Select At Least One Choice

If So What Types?:

If So What States?:


	Employment History

Begin with current or most recent employer and work backwards. List only employersfor whom you have worked in the position or trade in which you have applied.Employment history should cover the last 3 years.

*If this is a current
employer, may we
contact?:

Yes
No

Select At Least One Choice


	Employer #1

*Company Name #1:

*City #1:

*State #1:

Select State

*Phone Number #1:

- - x

*Date Employment
Started #1:

*Date Employment
Ended #1:

*Job Title #1:

*Supervisors Name #1:

*Duties #1:

(chars left: 1000)

*Reason for Leaving
#1:

(chars left: 1000)

*Starting Wage #1:

*Leaving Wage #1:


	Employer #2

*Company Name #2:

*City #2:

*State #2:

Select State

*Phone Number #2:

- - x

*Date Employment
Started #2:

*Date Employment
Ended #2:

*Job Title #2:

*Supervisors Name #2:

*Duties #2:

(chars left: 1000)

*Reason for Leaving
#2:

(chars left: 1000)

*Starting Wage #2:

*Leaving Wage #2:


	Employer #3

*Company Name #3:

*City #3:

*State #3:

Select State

*Phone Number #3:

- - x

*Date Employment
Started #3:

*Date Employment
Ended #3:

*Job Title #3:

*Supervisors Name #3:

Duties #3:

(chars left: 1000)

*Reason for Leaving
#3:

(chars left: 1000)

*Starting Wage #3:

*Leaving Wage #3:


	Work Information

*Have you been
convicted of a
felony?:

Yes
No

Select At Least One Choice

Such conviction may be relevant to client job placement, but may not bar you from employment.

If Yes, Please
explain:

(chars left: 1000)

*Can you obtain
reliable
transportation to
get to your work
assignments at your
scheduled start
time?:

Yes
No

Select At Least One Choice

*Are you available to
work away from home
for extended periods
of time?:

Yes
No

Select At Least One Choice

*Check the days of
the week you are
available for work:

Hold Down Your Ctrl Key And Click With Mouse On Days Available For Multiple Selections

*Can you work
extended hours:

Yes
No

Select At Least One Choice

*Shut-Downs:

Yes
No

Select A Least One Choice

*Shift Work:

Yes
No

Select At Least One Choice

*Overtime hours:

Yes
No

Select At Least One Choice

· NOTICE:Various Federal and State laws prohibit discrimination because of age, sex, race, color,religious creed, national origin, ancestry, handicap, military status or union affiliation.You are not required to give information on this registration form where such informationis expressly prohibited by Federal, State or Local laws and the applicant may excludethose responses that may indicate race, creed, sex, marital status, age, color, nationalorigin, disabilities, military status or union affiliation. Persons registered by this companywill be required to provide verification of information reported on this form. Ouremployment practices are in full accord with all applicable Federal, State and Local laws.Also, the company will make reasonable accommodations to aid handicapped registrantsto fulfill essential job functions.

· REPRESENTATIONS AND WAIVERS:I hereby authorize the company to investigate any and all statements contained in thisapplication of registry. I hereby consent to the company conducting any checksconcerning my background which are deemed necessary, advisable or helpful by thecompany (except contacting my current employer, unless permission was granted.) I alsounderstand that if registered and offered placement, I may be required to submit to a drugtest as part of this placement procedure. I hereby consent to that drug test, cooperatefully with the test and waive any and all objections I might have to such drug testing. Alloffers of employment are contingent upon passing the drug test. I further understand andagree that if this application of registry results in employment, my employment /placement can be terminated with or without cause and with or without notice, at anytime, at the option of either the company or myself.

I understand that no manager orrepresentative of the company has the authority to enter into an agreement foremployment for any specified period of time or to make any agreement contrary to theforegoing. I understand that due to the cyclical nature of the construction industry thatthe company is not in a position to employ field personnel on a permanent basis.

I certify and guarantee that all statements made on this application are true andcomplete to the best of my knowledge and without mental reservations. Iunderstand that falsification of this registration or failure to complete thisregistration in full may result in my not being considered foremployment/placement or, in the event I become employed by the Company, inmy dismissal.

*SIGNATURE:

By Typing Your Name In This Field You Are Swearing That All Information given In This Application Is Truthful.

*Signature Date:

My signature on this Employment Application serves as an Authorization toRelease Information. Former employers are hereby requested and authorized tofurnish and release to IC Trades Inc, any and all information and records,including but not limited to, all personnel file information that they requestconcerning my employment with your business. This authorization shall continueuntil revoked by me in writing.