First Name *

Last Name *

Phone *

Email *

What City Do You Live In? *

Postal Code *

If You Checked 'Other' Please Specify:

How Many Years Of Experience In Construction / Remodeling: *

What Specific Skills / Certifications Do You Have (e.g., licensed builder, EPA Lead-Safe, OSHA, Journeyman, etc.): *

Are You Seeking: *

Full-Time Work

Part-Time Work

Subcontractor Work

Project Based Work

Which Regions Of Michigan Are You Available To Work In? *

Do You Have Reliable Transportation? *

No

Yes

What Company Have You Most Recently Worked For? (what is the company name): *

What Position Did You Hold At That Company? *

What Dates Were You Employed There? *

What Was The Reason For Leaving That Company? *

Do You Have Your Own Tools? *

No

Yes

Do You Carry Liability Insurance? (subcontractors) *

No

Yes

Please Provide Two Professional References (Name & Phone Number) *

Why Do You Want To Join Rare Gem Construction? *

Tell Us About A Project You're Proud Of: *

Any Other Information You'd Like Us To Know:

I certify that the information provided is true and complete. I understand that falsification of information may result in disqualification or termination if hired. *

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