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Candidate Information Sheet
What company are you applying to?
*
DEEM, LLC
CSC
Victory Surfaces
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Personal Information
First Name:
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Middle Name:
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Last Name:
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Date:
*
-
Month
-
Day
Year
Address:
*
Street Address
Apartment/Unit #
City
State / Province
Postal / Zip Code
Cell Phone Number:
*
Please enter a valid phone number.
Home Phone Number:
Please enter a valid phone number.
Email Address:
*
example@example.com
Desired Pay:
*
Desired Position/Trade:
*
If listing a trade, please be specific. Examples include: Refrigeration, Plumbing, Electrical, HVAC, Pipefitting, Welding, Sheet Metal, Warehouse, Flooring (Terrazzo/Tile), CDL Driver, or Security Systems. Please avoid listing only general titles such as "Foreman" or "Journeyman." Instead, specify the trade or field you are interested in. You are welcome to list more than one trade if applicable.
Trade (DEEM)
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Electrician
HVAC
Plumber
Refrigeration
Pipefitter
Telecom
Welder
Truck Driver
Warehouse
Office
Sheet Metal
Years of experience in trade
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0
1-2
2-4
4+
10+
What location do you want to work
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Please Select
Colorado
Florida – Lakeland/Orlando area
Florida – Manatee County
Florida – Miami Area
Georgia
Indiana
Kentucky - Louisville Area
Missouri
North Carolina
Ohio
South Carolina
Tennessee – Memphis
Tennessee - Nashville Area
Texas – Dallas Area
Texas – Houston Area
Texas – San Antonio/Austin Area
West Virginia
How did you find out about this position? If referred, list full name of employee.
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Are you authorized to work in the United States?
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Yes
No
Are you over the age of 18?
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Yes
No
Some positions require driving a company vehicle, which mandates that drivers be 21 years of age or older due to insurance regulations. If applying for a position that requires driving a company vehicle, are you 21 years of age or older?
*
Yes
No
Not applicable (I am not applying for a driving-related position)
Are you willing to travel for work?
Yes, everywhere
Yes, in state only
No
Have you ever worked for this company?
*
Yes
No
If yes, when? Start Date:
*
If you selected "No" for the previous question, please put N/A in the text box
If yes, when? End Date:
*
If you selected "No" for the previous question, please put N/A in the text box
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Education
High School:
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City, State:
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Did you earn a High School Diploma or a GED?
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Yes
No
If yes, Year of Completion:
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If you selected "No" for the previous question, please put N/A in the text box.
Please check the box next to the valid certification you hold.
OSHA 10
OSHA 30
EPA
TDLR Card
Journeyman license
Other
If you selected Other, please specify the valid certification.
If you have a Journeyman license, please specify for what trade and what state it was issued in.
Please list any degrees, certificates, or licenses earned (e.g., Associate's, Bachelor's, Trade Certificate):
Degree/Certification
Institution
Year of Completion
#1
#2
#3
#4
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Previous Employment
(List your last 3 most recent jobs starting with the most recent.)
Company:
*
Most Recent Company
Phone:
Please enter a valid phone number.
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor:
*
Job Title:
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Please include your trade along with your job title.
Responsibilities included:
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Please provide a detailed summary of the key tasks and responsibilities you handled in this role.
Start Date:
*
End Date:
*
Reason for Leaving:
*
May we contact your previous employer?
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Yes
No
Previous Employment #2
Company:
*
Phone:
Please enter a valid phone number.
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor:
*
Job Title:
*
Please include your trade along with your job title.
Responsibilities included:
*
Please provide a detailed summary of the key tasks and responsibilities you handled in this role.
Start Date:
*
End Date:
*
Reason for Leaving:
*
May we contact your previous employer?
*
Yes
No
Previous Employment #3
Company:
*
Phone:
Please enter a valid phone number.
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Supervisor:
*
Job Title:
*
Please include your trade along with your job title.
Responsibilities included:
*
Please provide a detailed summary of the key tasks and responsibilities you handled in this role.
Start Date:
*
End Date:
*
Reason for Leaving:
*
May we contact your previous employer?
*
Yes
No
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Military Service
If you did not serve in the military, please skip this page by pressing next at the bottom.
Military Branch:
From:
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Month
-
Day
Year
To:
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Month
-
Day
Year
Rank at Discharge:
Please describe responsibilities at this rank.
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Professional References
Please list three professional references. Someone whom you have known for at least a year and is not related to you.
Full Name:
*
Relationship:
*
Company:
*
Phone Number:
*
Please enter a valid phone number.
Email Address:
*
Professional References #2
Full Name:
*
Relationship:
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Company:
*
Phone Number:
*
Please enter a valid phone number.
Email Address:
*
Professional References #3
Full Name:
*
Relationship:
*
Company:
*
Phone Number:
*
Please enter a valid phone number.
Email Address:
*
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Resume Upload
To help us match you with the best opportunities, please upload your most recent resume.
Resume Upload
Browse Files
Drag and drop files here
Choose a file
To help us match you with the best opportunities, please upload your most recent resume.
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Disclaimer and Signature
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that any false or misleading information provided during the application or interview process may result in disqualification from consideration or termination of employment, if hired.
Name:
*
First Name
Middle Name
Last Name
Phone Number
Please enter a valid phone number.
Date
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Signature:
*
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