Introduction Education & Training Skills Work Experience Resume & Cover Letter Voluntary Self ID Please complete all required fields. H.J. Martin and Son, Inc. Installer & Warehouse Application for Employment Thank you for your interest in H.J. Martin and Son, Inc. Please fill out the form below. When completed and submitted, you will receive a confirmation code and the form will then be sent to the Human Resources department. Please use your code when following up about your submission. If you have any questions regarding your submission, please email Human Resources at hr-resume@hjmartin.com or call 920-494-3461. Thank you. H.J. Martin and Son, Inc., (the "Company") is an equal opportunity employer. Employment decisions are based on merit and business needs and not on race, color, citizenship status, gender, sexual orientation, age, religion, disability, marital status, or any other characteristic protected by law. Personal Information First Name Middle Initial Last Name Address City State Zip Email Cell Phone General Information Position applying for or type of employment desired Choose one... Acoustical Ceiling Installer Concrete Polisher Drywall Taper Finish Carpenter Fixture Installer Flooring/Ceramic Tile Installer Glazier Merchandiser Summer Helper Warehouse/Inventory Other If "other", please explain Are you applying for a specific division? Choose one... Glass & Glazing Walls & Ceilings Flooring Doors & Hardware Millwork Installation Floorcare National Fixtures No specific division Which of the following shifts would you be available for? Choose one... AM PM Overnight Any or all of the above Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation? Choose one... No Yes If no, please list the reasons why you are unable to perform the essential functions of the job you are applying for. Do you have a valid state driver's license? Choose one... No Yes Were you referred to H. J. Martin and Son, Inc.? Choose one... No Yes If yes, who referred you? (Please list legal name and relationship to you.) Were you referred to H.J. Martin and Son, Inc. through a program or school? Choose one... No Yes If you were referred by a program or school, please list the program or school name. If you were not referred, how did you hear about the open position at H. J. Martin and Son, Inc.? Are you legally authorized to work in the US? Choose one... No Yes Are you 18 years or older? Choose one... No Yes Are you able to travel for extended periods of time? Choose one... No Yes Will Accept: Choose one... Full-time Part-time Temporary Summer Any Hourly or Annual Salary Desired Date available List all pertinent skills and equipment that you can operate Education and Training High School Graduate or General Education (GED) test passed? Choose one... No Yes If not, list the highest grade completed Carpentry Skills Please select your experience or skill level obtained in each of the following areas, with 1 being no experience and 5 being extensive experience. Commercial glass & glazing Choose one... 1 2 3 4 5 Metal racking installation Choose one... 1 2 3 4 5 Hanging aerial signage Choose one... 1 2 3 4 5 Installation of casework (jewelry, cosmetic, etc.) Choose one... 1 2 3 4 5 Installation of countertops Choose one... 1 2 3 4 5 Installation of wood and plastic laminate floors Choose one... 1 2 3 4 5 General wood and steel framing Choose one... 1 2 3 4 5 Installation of interior and exterior doors and hardware Choose one... 1 2 3 4 5 Drywall installation Choose one... 1 2 3 4 5 Drywall finishing Choose one... 1 2 3 4 5 Acoustical ceiling installation Choose one... 1 2 3 4 5 VCT flooring Choose one... 1 2 3 4 5 LVT flooring Choose one... 1 2 3 4 5 Carpet installation Choose one... 1 2 3 4 5 Ceramic tile installation Choose one... 1 2 3 4 5 Installation of wood base and casings (butt joint, miter joint, outside corner miter, etc.) Choose one... 1 2 3 4 5 Installation of crown moldings (butt joint, miter joint, outside corner miter, etc.) Choose one... 1 2 3 4 5 Construction or Technical Skills Please select your experience or skill level obtained in each of the following areas, with 1 being no experience and 5 being extensive experience. Understands and can interpret blueprints and as-built Choose one... 1 2 3 4 5 Understands, qualifies and adheres to required construction specifications Choose one... 1 2 3 4 5 Understanding of building and governing construction codes Choose one... 1 2 3 4 5 Job Safety Please select your experience or skill level obtained in each of the following areas. Do you have current CPR certification? Choose one... No Yes Do you have current First Aid certification? Choose one... No Yes Do you have OSHA 10 hour training? Choose one... No Yes Do you have OSHA 30 hour training? Choose one... No Yes Do you have certification for forklift and arial lift operation? Choose one... No Yes Do you have a CDL license? Choose one... No Yes Voluntary Self Identification Form The Equal Employment Opportunity Commission (EEOC) required organizations with 100 or more employees to invite applicants to self-identity gender and race and complete a Voluntary Self Identification for each year. Completion of this data is voluntary and will not affect your opportunity for employment, or terms or conditions of employment. The information requested below is used by H.J. Martin and Son, Inc. only as it relates to our Affirmative Action plan and will be kept separate from all other personnel records only accessed by the Human Resources department. I have read the above information on Voluntary Self Identification. First Name Last Name Decline Self-Identification (I do not wish to self identify.) Gender Choose one... Male Female Race/Ethnicity Choose one... American Indian or Alaskan Native Asian (not Hispanic or Latino) Black or African American (Not Hispanic or Latino) Hispanic or Latino Native Hawaiian or Other Pacific Islander Two or More Races (other than Hispanic or Latino) White (not Hispanic or Latino) I certify that this information is accurate and acknowledge that by my name below. Signature of Applicant (First and Last Name) Date Work Experience (most recent first) Are you currently employed? Choose one... No Yes When would you be able to start? Employer 1 Phone Number Address Job Title Number of Employees Supervised Specific Duties From (month/year) To (month/year) Hours per Week Last Salary Supervisor Reason for Leaving May we contact this employer? Choose one... No Yes Employer 2 Phone Number Address Job Title Number of Employees Supervised Specific Duties From (month/year) To (month/year) Hours per Week Last Salary Supervisor Reason for Leaving May we contact this employer? Choose one... No Yes Employer 3 Phone Number Address Job Title Number of Employees Supervised Specific Duties From (month/year) To (month/year) Hours per Week Last Salary Supervisor Reason for Leaving May we contact this employer? Choose one... No Yes Employer 4 Phone Number Address Job Title Number of Employees Supervised Specific Duties From (month/year) To (month/year) Hours per Week Last Salary Supervisor Reason for Leaving May we contact this employer? Choose one... No Yes Comments on previous employment (address gaps, list other jobs, etc.) Work Related References (do not include relatives) 1. Name Occupation Years Known Contact Information How do you know this person? 2. Name Occupation How do you know this person? Years Known Contact Information 3. Name Occupation How do you know this person? Years Known Contact Information I certify the information contained in this application is true, correct, and complete. I understand that, if employed, false statements reported on this application may be considered sufficient cause for dismissal. I authorize the Company to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to the Company and will hold the Company and my former employer harmless from any claim made to me on the basis of such information. I further authorize the Company to obtain any credit and consumer check. I understand that nothing in this application, the granting of an interview or my subsequent employment with the Company is intended to create an employment contract between myself and the Company under which my employment could be terminated only for cause. On the contrary I understand and agree that if hired; my employment will be terminable at will and may be terminated by me or the Company at any time for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing. If employed, I will be required to provide original documents, which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. I hereby acknowledge that I have read and agree to the above statement. Signature of Applicant (First and Last Name) Date High School, College, Technical and Military School (most recent first) 1. Name and location Years completed Degree Major or Subject Graduate Choose one... No Yes 2. Name and location Years completed Degree Major or Subject Graduate Choose one... No Yes 3. Name and location Years completed Degree Major or Subject Graduate Choose one... No Yes 4. Name and location Years completed Degree Major or Subject Graduate Choose one... No Yes 5. Name and location Years completed Degree Major or Subject Graduate Choose one... No Yes Occupational License, Certificate or Registration 1. Type Received Number Where Issued Expiration Date 2. Type Received Number Where Issued Expiration Date 3. Type Received Number Where Issued Expiration Date 4. Type Received Number Where Issued Expiration Date Comments or additional licenses, certifications or registrations. Veteran Information Branch of Service Date of Entry Date of Discharge Any additional comments? Upload your cover letter Upload your resume Previous Step Next Step Send the Form Step 1 of 6
