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561-640-3633 (Office)
561-640-3783 (Fax)
Click Above to Apply On-Line

Employment Application


Personal Information
Name(last name, first name)
Present AddressCityStateZip
Home Phone #Cell phone #


Desired Employment
PositionDate you can startSalary Desired
Are you employed now?If so, May we Inquire of your present employer
YesNoYesNo
Have you ever worked or Applied for a job at P.B.D.F Before?Which?When?
YesNo
Who referred you to our company
Newspaper Advertisement Online Advertisement Friend
Walk in Other Previous Employed Here


Education
School Level Name/Location of school# of years attendedGraduate? Year?Subjects Studied
High School
College
Trade


Former Employers
Name of Present Employer
AddressCityStateZip Code
Starting DateEnding DateJob Title
Hourly Starting SalaryHourly Ending SalaryMay we Contact your supervisor?
YesNo
Name of SupervisorTitlePhone #
Description of Job Duties
Reason for Leaving
Former Employers
Name of Present Employer
AddressCityStateZip Code
Starting DateEnding DateJob Title
Hourly Starting SalaryHourly Ending SalaryMay we Contact your supervisor?
YesNo
Name of SupervisorTitlePhone #
Description of Job Duties
Reason for Leaving
Former Employers
Name of Present Employer
AddressCityStateZip Code
Starting DateEnding DateJob Title
Hourly Starting SalaryHourly Ending SalaryMay we Contact your supervisor?
YesNo
Name of SupervisorTitlePhone #
Description of Job Duties
Reason for Leaving


References
NameAddressPhone NumberYears acquainted
NameAddressPhone NumberYears acquainted
NameAddressPhone NumberYears acquainted


Military Service Record
Branch of Service Discharge date
HAVE YOU BEEN CONVICTED OF A FELONY WITHIN THE LAST 5 YEARS?
YesNo
IF yes, Explain (WILL NOT NECESARILY EXCLUDE YOU FROM CONSIDERATION)


Do you have or have you had any of the following?
Neck InjuryYesNo
Back InjuryYesNo
Knee InjuryYesNo
Ankle InjuryYesNo
Arm InjuryYesNo
Wrist InjuryYesNo
Hearing LossYesNo
Vision LossYesNo

Do you understand you are applying for a job that requires you to be able to lift 100 to 150 pounds?
Yes     No
Have you ever received workman's comp?
Yes     No
You will be asked to work an eight-hour shift between 7:00AM to 6:00PM Will this be a problem??
Yes     No
Would you be able to work weekends?
Yes     No
Do you have your own dependable personal transportation?
Yes     No
Languages spoken?
What date can you start?

Please check the degree of experience you have in the following areas.
1 being lowest 4 being the highest 		1234
Working on Commercial Jobs
Working on very high end residences
Installing mud screens
Templating countertops
Fabricating countertops
Installing countertops
Templating shower walls and ceiling
Installing Protecto Wrap or Ditra anti-fracture
Mixing and coloring epoxy
Polishing stone with sandpaper
Polishing stones with diamond discs
Refinishing stone floors
Grouting with epoxy grout
Installing 24"x 24" tiles
Installing treads and risers (steps)
Laying out floors and walls
Operating and driving forklifts
Driving box trucks and flat bed trucks
Installing terrazzo (epoxy and cementitious)
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