Employment Application Form

Employment Application

As an industry leader in demolition and environmental services, Bierlein offers outstanding career opportunities for enthusiastic, innovative people who know how to work hard – and work safely. Bierlein Companies is an Equal Opportunity Employer.

Personal Information

First Name

Last Name

Address

City

State/Province

ZIP/Postal Code

Telephone Number

Email

18 years of age or older?
 Yes No

Authorized to work in the United States?
 Yes No

Previously employed by Bierlein Companies?
 Yes No

If yes, please provide date(s) of employment and supervisor name(s)

Have you previously applied to work with Bierlein Companies?
 Yes No

If yes, when did you do so?

Please list any friends or relatives who currently work for Bierlein Companies

What method of transportation will you use to get to work?


Employment Desired

Position(s) you are applying for

Are you looking for:
 Full-time Part-time


Employment Experience

List current or most recent job first.

Employer 1
Name:

Address:

City:

State:

ZIP:

Phone:

Job Title:

Supervisor:

Work Performed:

Date:
Starting:
Final:

Hourly Rate/Salary:
Starting:
Final:

Reason for Leaving:


Employer 2

Name:

Address:

City:

State:

ZIP:

Phone:

Job Title:

Supervisor:

Work Performed:

Date:
Starting:
Final:

Hourly Rate/Salary:
Starting:
Final:

Reason for Leaving:


Employer 3

Name:

Address:

City:

State:

ZIP:

Phone:

Job Title:

Supervisor:

Work Performed:

Date:
Starting:
Final:

Hourly Rate/Salary:
Starting:
Final:

Reason for Leaving:


Education

Elementary
Name:
Location:
Years Completed:
Diploma/Degree:
Courses of Study:

High School
Name:
Location:
Years Completed:
Diploma/Degree:
Courses of Study:

College
Name:
Location:
Years Completed:
Diploma/Degree:
Courses of Study:

Graduate School
Name:
Location:
Years Completed:
Diploma/Degree:
Courses of Study:

Vocational/Training
Name:
Location:
Years Completed:
Diploma/Degree:
Courses of Study:


References

Do not include relatives or former employers.

Reference 1
Name:
Address:
Phone Number:
Years Acquainted:

Reference 2
Name:
Address:
Phone Number:
Years Acquainted:

Reference 3
Name:
Address:
Phone Number:
Years Acquainted:


Additional Information

Have you been convicted of a crime?
 No Yes

If so, please list where and when you were convicted and describe the nature of the offense(s).

Please list any qualifications, including special training, skills and relevant experience, or attach a résumé.

Attach File:

Available to travel and/or relocate for extended periods of time?
 Yes No

Salary desired

When can you start?
(Please enter using this format: mm/dd/yyyy)

State any additional information that you feel may be helpful to us in considering your application: