NOTES:
1. "*" indicates a required field that must be completed
2. remember that you must complete and submit this form in ONE SITTING; you will lose all information entered if not submitted!

To print a blank form,
1.) Please Check One: *
I am an "individual applicant"
I am "responding as a company"
2.) Contact Info

*

*

*

*

*

*

*

*
3.) Current Status: *Are you at least 18 years old?

Yes No

*I am authorized to work in the United States of America

Yes No

*I am able to provide timely documentation of identity and work eligibility including social security number upon request.

Yes No

*Full driving privileges with no restraints

Yes No


*Driving license suspension within the last 5 years

Yes No


*Have you ever been convicted of a felony which has not been expunged or sealed by a court?

Yes No

Languages:

*Primary language
Secondary language

4.) Employment History
Current

Company Name Company's Primary Business Position/Title How Long Employed (months) Hourly Pay Rate Street Address City State Zip Code Contact Person Phone Number

May we contact?

Yes No
Previous

Company Name Company's Primary Business Position/Title How Long Employed (months) Hourly Pay Rate Street Address City State Zip Code Contact Person Phone Number

May we contact?

Yes No
5.) Job Title or Classification:
6.) Trade Skills Check all that apply
Construction
wall framing - wood
wall framing - metal
drywall installation
drywall taping
acoustic ceilings
doors, frames, hardware
solid surface
painting
VCT flooring
carpet tiles
Installation
modular millwork/cabinets
millwork assembly
laminate counters
field lamination
display assembly
steel gondola
POP displays
wall signs
ceiling signs
graphics
decals/appliques
window film
mirrors
7.) Soft Skills Check all that apply
ability to read fixture plans and elevations
ability to read and understand fixture plans and elevations
have you been in charge of a work crew?
have you conducted walk-throughs with a client representative?
have you been responsible for budgets, schedules, or production tracking?

Computer Proficiency - Do you know how to:
Check all that apply
zip and unzip files
modify Excel schedules
transmit digital photographs and other electronic files (word, excel)
8.) Technical training, licenses, or special skills: List Any Professional Trade Licences you have - 300 character max



List Job Related Training or Certifications you have (such as trade school courses, equipment operating or safety training certificates, or technical training courses) - 300 character max

9.) Primary Industry Experience: My experience is primarily within this industry (pick no more than two):

  • retail remodeling
  • retail new construction
  • retail merchandising
  • commercial construction
  • residential construction
  • other (name) Check "Other" box to enable
    • 10.) Retail Experience (choose 1): *
    I have experience working in retail stores
    I do not have retail store experience but am willing to learn.
    11.) NON-RETAIL Project Participation Check any types of projects you have done from the list below; use the "OTHER" field if not listed.

    Offices Banks Airports
    Medical Clinics Hotels/Motels Casinos/Resorts
    Apartments/Condos OtherOther (provide names - 200 character max) Check "Other" box to enable
    12.) RETAIL Project Participation Use the scrollbar to look through the list and check the name of the retailers you have done projects with; use the "OTHER" field (at the bottom of the list) if not listed.

    7-Eleven
    84 Lumber
    99 Cents Only
    A & P
    Abercrombie & Fitch
    Ace Hardware
    Advance Auto Parts
    Albertsons
    Aldi
    American Eagle
    Ann Taylor
    AT&T
    AutoZone
    Banana Republic
    Barnes & Noble
    Bass Pro Shop
    Bath & Body Works
    Bed Bath & Beyond
    Belk
    Best Buy
    Big 5 Sports
    Big Lots
    BJ's Wholesale
    Blockbuster
    Bon - Ton
    Borders Group
    Boscov's
    Burger King
    Burlington Coat
    Cabela's
    Charming Shoppes
    Chicos
    Circuit City
    Costco
    CVS
    Dick's
    Dillard's
    Discount Drug
    Dollar General
    Dollar Tree
    Duane Reade
    Express
    Family Dollar
    Fed-X/Kinkos
    Foot Locker
    Forever 21
    Fred Meyer
    FYE
    Gamestop
    Gander Mountain
    Gap
    Giant Eagle
    GNC
    Golfsmith
    Goody's
    Guess
    H.E.B.
    Harris Teeter
    HH Gregg
    Home Depot
    In and Out
    JCPenney
    Jo-Ann
    Kentucky Fried
    Kerr Drug
    Kinney Drugs
    KMart
    Kohl's
    Kroger
    Lenscrafters
    Limited
    Linen n Things
    Liz Claiborne
    Longs Drug
    Lowe's
    Luxottica Retail
    Macy's
    May Company
    McDonalds
    Meijer
    Menard
    Mervyn's
    Michaels Stores
    Modell's
    Neiman Marcus
    Nike
    Nordstrom
    Office Depot
    OfficeMax
    Old Navy
    O'Reilly Auto
    Pacific Sunwear
    Pathmark
    Payless Shoes
    Pep Boys
    Petco
    Petsmart
    Pier 1
    Pizza Hut
    Price Chopper
    Publix
    QVC
    RadioShack
    Rally's
    Retail Ventures
    Rite Aid
    Ross Stores
    Safeway
    Saks
    Sam Ash
    Sam's Club
    Save Mart
    Sears
    Sephora
    ShopKo Stores
    Skechers
    Snyder's Drug
    Sports Authority
    Sprint
    Staples
    Stein Mart
    SuperValu
    Taco Bell
    Talbots
    Target
    The Pantry
    Things Remem'rd
    Tiffany
    Timberland
    TJ Maxx
    TMobil
    Toys R Us
    Tractor Supply
    Trader Joe's
    Tuesday Morning
    Urban Outfitters
    Value City
    Verizon
    Victoria's Secret
    Walgreen
    Wal-Mart
    Wegman's
    Weis Markets
    Wendy's
    Whole Foods
    Williams-Sonoma
    Winn-Dixie
    Zale
    Other Other (provide names - 200 character max) Check "Other" box to enable

    13.) THIS SECTION IS FOR COMPANY REPLIES ONLY!!!; Individuals should proceed to the next section:








    Your gross revenue category:


    What services do you provide? (check all that apply)
    General Construction
    Commercial Construction
    Residentail Construction
    Retail New Build or Remodeling
    Other
    Describe a typical project (limited to 500 characters):

    Do you hold any contracting licenses?

    Yes No


    If so, from where? Check "Yes" above to enable

    Do you have business insurance?

    Yes No


    Do you have a website?

    Yes No

    If "Yes" then provide complete web address Check "Yes" above to enable

    Are you uploading corporate information for us to see?
    (you'll have an opportunity to do this after the application is submitted)

    Yes No
    14.) OPTIONAL Information You Would Like To Provide:
    15.) YOU ARE ALMOST DONE!!! *How did you find out about us?

    16.) By submitting this information, I agree to the following:

    All information I have entered onto this form is accurate and true to the best of my knowledge.

    I understand that all information I have provided is confidential and has been provided voluntarily.

    I understand that submitting this information in no way obligates me or the website sponsor to any guarantee of employment.

    I have read and understand the information within the web site regarding the requirements and context of this opportunity.

    I understand the personal obligations that are legally required of me relative to employment within a 1099 relationship.

    *I have read the above and understand :
    17.) Final Steps: Please double check that your contact information is correct (especially email addresses).

    ...and finally, click the "SUBMIT NOW" button to submit your application for us to consider. You will be prompted to upload a resume and any additional support materials (and we encourage you to do so). You will receive an email with a copy of your application. You should keep a copy of this for future reference. Should you have any difficulties with submitting your application, please email us at support@installersite.com