Job Form - Good-to-go Restoration First name Last name Street address Street address Line 2 City State / Province Postal / ZIP code Phone number Email Are you legally eligible to work in the US? Yes No Are you a Veteran? Yes No If selected for employment are you willing to submit to a background check? Yes No Position you are applying for Available start date Desired pay rate Job Skills & Training Education Training or certifications Please list two (2) past work references. Employer #1 Company name Dates employed Company phone number Company street address Company street address Line 2 City State / Province Postal / ZIP code Country Employer #2 Company name Dates employed Company phone number Company street address Company street address Line 2 City State / Province Postal / ZIP code Country References Please list two (2) references that are familiar with your work life. Reference 1 First name Last name Phone number Years known Street address Street address Line 2 City State / Province Postal / ZIP code Country Reference 2 First name Last name Phone number Years known Street address Street address Line 2 City State / Province Postal / ZIP code Country Applicant Disclaimer I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my employment being terminated. Name of applicant Date submitted Upload resume Send
