Purus Masonry – Historical, Commercial, and Residential Brickwork Done Right!

Personal Information
Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Home Phone Number
Cell Phone
Position Applying For
Are you 18 years or older?
- Yes
Have your worked for Purus Masonry Restoration before?
- Yes
If yes, when?
Who referred you to our organization?
Are you available for full-time work?
- Yes
Resume Uploader
Max. file size: 80 MB.
Education
College
Name & Location
Course of Study
Years Completed
Did you Graduate
- Yes
Degree or Diploma
High School
Name & Location
Course of Study
Number of Years Completed
Did You Graduate?
- Yes
Degree or Diploma
Employment
Most Recent Job
Company Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of Supervisor
Your Job Title & Responsibilities
Employment Dates Start
MM / DD / YYYY
Employment Date End
MM / DD / YYYY
Wages
Wages per
Reason for Leaving
Job 2
Company Name
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name of Supervisor
Your Job Title & Responsibilities
Employment Dates Start
MM / DD / YYYY
Employment Date End
MM / DD / YYYY
Reason for Leaving
Experience
Are you afraid of heights?
- No
What type of scaffold have you worked on?
If you’re applying to be a bricklayer, please describe your trowel skills on a scale of 1 – 10

Please enter a number from 1 to 10.
Tell us why you rate yourself with this score
What material have you laid?
What mason contractors have you worked for?
What safety training have you received?
Journeyman?
- Yes
Apprentice?
- Yes
Improver?
- Yes
Bricklayer
- Stonesetter
- Bricklayer
- Blocklayer
Mason Tender?
- Forktruck
- Erect Scaffolding-Hydraulic
- Mix Mud
- Tend Bricklayers
How far are you willing to travel (miles)
Have you ever served in the U.S. Armed Forces
- Yes
Other Information
Are you able to perform the essential functions of the position you are applying for with or without reasonable accomodation?
- Yes
Do you have any felony charges pending against you?
- Yes
Have you been convicted of a crime, excluding minor traffic violations?
- Yes
If yes, please explain 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 Purus Masonry Restoration LLC., to contact any employer listed above for reference information and for information regarding my employment with such employer. I further agree to hold Purus Masonry Restoration LLC. and/or any such employer harmless from any liability in connection with such inquiries and/or the furnishing of any such information.

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