Personal Information
First Name
Last Name
Address
City
State
Zip Code
Email Address
Confirm Email Address
Home Phone
Please enter without dashes, spaces, or parentheses.
(e.g. 5551670202)
Cell Phone
Please enter without dashes, spaces, or parentheses.
(e.g. 5551670202)
What is the position for which you are applying?
Are you 18 years or older?
Yes No
Have you worked for Davenport Masonry, Inc. before?
Yes No
If yes, when?
Who referred you to our organization?
Are you available for full-time work?

Education
College
Name & Location of School

Course of Study

Number of Years Completed

Did You Graduate?
Yes No

Degree or Diploma
High School
Name & Location of School

Course of Study

Number of Years Completed

Did You Graduate?
Yes No

Degree or Diploma
Elementary
Name & Location of School

Course of Study

Number of Years Completed

Did You Graduate?
Yes No

Degree or Diploma

Employment
Please give accurate, complete full-time and part-time employment record. Start with present or most recent employer.
Job 1
Company Name

Phone Number
Please enter without dashes, spaces, or parentheses.
(e.g. 5551670202)

Address

Name of Supervisor

Job Title & Responsibilites

Employment Dates (MM/YYYY format)
Start End

Weekly Pay
Start End

Reason for Leaving

Job 2
Company Name

Phone Number
Please enter without dashes, spaces, or parentheses.
(e.g. 5551670202)

Address

Name of Supervisor

Job Title & Responsibilites

Employment Dates (MM/YYYY format)
Start End

Weekly Pay
Start End

Reason for Leaving

Job 3
Company Name

Phone Number
Please enter without dashes, spaces, or parentheses.
(e.g. 5551670202)

Address

Name of Supervisor

Job Title & Responsibilites

Employment Dates (MM/YYYY format)
Start End

Weekly Pay
Start End

Reason for Leaving

Job 4
Company Name

Phone Number
Please enter without dashes, spaces, or parentheses.
(e.g. 5551670202)

Address

Name of Supervisor

Job Title & Responsibilites

Employment Dates (MM/YYYY format)
Start End

Weekly Pay
Start End

Reason for Leaving


Experience
Journeyman? Yes No
Apprentice? Yes No
Improver? Yes No
Bricklayer?
Stonesetter
Bricklayer
Blocklayer
Mason Tender?
Forktruck
Erect Scaffolding
       - Hydraulic
       - Frame
Mix Mud
Tend Bricklayers

Region
Select your preferred region for work:
Southeast Michigan
       Detroit, Ann Arbor, Monroe, and Adrian

Central Michigan
       Lansing, Flint, Ann Arbor, and Jackson

Western Michigan
       Grand Rapids, Kalamazoo, Battle Creek
       and Muskegon

Northeast Michigan
       Flint, Saginaw, Midland, Bay City, and Mt. Pleasant

Northern Michigan
       Grayling, Gaylord, Traverse City, and
       the Upper Peninsula

Out of State
How far are you willing to travel? miles

Have you ever served in the U.S. Armed Forces?   No Yes
Military
Please complete this section if you served in the U.S. Armed Forces
Describe your duties and any special training:
Branch of Service
Date of Discharge (MM/YYYY format)
Rank at Discharge

Other Information
Are you able to perform the essential functions of the position you are applying for with or without reasonable accommodation?
Yes No
How many miles are you willing to travel for work?
Do you have any felony charges pending against you?
Yes No
Have you ever been convicted of a crime, excluding minor traffic violations?
Yes No
If yes, please explain below when, where, and the nature of the offense:

Submission Agreement
I authorize investigation of all statements contained in this Application for Employment. I understand that misrepresentation or omission of facts called for herein will be sufficient cause for cancellation of consideration for employment or dismissal from the Company's service if I have been employed. I hereby agree that this company and my previous employers shall not be held liable in any respect if an employment offer is not tendered or is withdrawn or if my employment is terminated because one or more statements and/or answers contained in this application are false. If I am employed, I understand that additional personal data will be required for determination of benefit eligibility and for statistical purposes. I hereby authorize Davenport Masonry, Inc., to contact any employer listed above for reference information and for information regarding my employment with such employer. I further agree to hold Davenport Masonry, Inc. and/or any such employer harmless from any liability in connection with such inquiries and/or the furnishing of any such information.

THIS APPLICATION WILL BE HELD ACTIVE FOR SIXTY (60) CALENDAR DAYS. IF YOU ARE NOT CALLED WITHIN SIXTY (60) DAYS AND WISH TO REAPPLY, YOU MAY DO SO BY FILING A NEW APPLICATION.

BY SUBMITTING THIS APPLICATION I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE PARAGRAPHS.