Employment Application

Position: Insulation Installer / Helper

APPLICANT INFORMATION

Full Name *

Full Name

Date

Email *

Phone *

Street Address

City

State

Postal Code

AVAILABILITY & BASIC REQUIREMENTS

Available start date:

Desired pay:

Are you at least 18 years old?

Yes

No

Authorized to work in the U.S.?

Yes

No

Valid driver's license?

Yes

No

Reliable transportation?

Yes

No

Can you work early mornings and occasional longer days?

Yes

No

Can you perform the essential physical duties of this job, with or without reasonable accommodation?

Yes

No

Days available:

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

EXPERIENCE

Check all areas where you have experience:

Fiberglass batts

Net and blow / BIBS

Attic blow-in

Spray foam

Air sealing

General construction

Insulation removal

Operating lifts / equipment

No insulation experience

Briefly describe your construction or insulation experience

MOST RECENT EMPLOYMENT

Employer 1

Company name
Superviso
Contact
Dates employed
Position
Main Duties

Reason for leaving (Employer 1)

Employer 2

Company name
Superviso
Contact
Dates employed
Position
Main Duties

Reason for leaving (Employer 2)

REFERENCES

Please list two work-related references (not relatives).

APPLICANT STATEMENT

I certify that the information in this application is true and complete to the best of my knowledge. I understand that false or misleading information may disqualify me from employment or result in termination. I authorize Precision Insulation & Coatings to contact the employers and references listed above.

Applicant signature *

Precision Insulation & Coatings is an equal opportunity employer. Employment decisions are made without unlawful discrimination.

Employment Application | Installer / Helper