APPLICATION

(Fill Out Completely)

Notice to Applicant: We are an equal opportunity employer and do not discriminate on the basis of an applicant’s or employee’s race, color, religion, sex, national origin, citizenship, age, physical or mental disability or any other characteristic.

Personal Information: (Please Print)

Name: ______________________________________________ Social Security: ___________________

(First) (MI) (Last)

Address: ____________________________________________________________________________

City: ________________________________________ State: ________ Zip: _____________________

Home Phone: _____________________________ Cell Phone: ________________________________

Drivers License # ______________________________________________________________________

Are You Married? ___________ Number Of Dependents (If Any?): _________ DOB _______________

Employment: (Please Print)

Prior Position: ___________________________________ Employer: ____________________________

How Long: _________ Phone: ______________________ Contact Name: ________________________

Job Requirements _____________________________________________________________________

Reason(s) For Leaving: _________________________________________________________________

___________________________________________________________________________________

Prior Position: _____________________________________ Employer: ____________________________

How Long: _________ Phone: ________________________ Contact Name: ________________________

Job Requirements _______________________________________________________________________

Reason(s) For Leaving: ___________________________________________________________________

_____________________________________________________________________________________

Decks By Design, Inc.

11763 Igneous Dr. - Fishers, In. 46038

770-6062 (Office) - 770-3665 (Fax)

www.decksbydesign.com

Questions: (Please Print)

Do You Have Any Felonies: _________________ If So, For What?: ________________________________________

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Do You Have Transportation: __________ Do You Know Indiana’s Building Codes Related To Deck Building?________

Have You Ever Built Decks Before: _______________ If So, How Many?: ____________________________________

Do You Mind Working In The Cold, Heat Or Outside In General? _____________________________________________

Are You Comfortable Working Around Power Tools? ______________________________________________________

What Experience Do You Have Building Decks? Be Specific. ________________________________________________

_________________________________________________________________________________________________

Tell Us About Yourself: (What Skills Do You Have That Would Benefit Decks By Design, Inc.) ____________________

_________________________________________________________________________________________________

Comments: ______________________________________________________________________________________

_________________________________________________________________________________________________

(Please Mail or Fax This Application To Decks By Design, Inc.)

Signature Dated _______________________

I DECLARE THAT THE FOREGOING INFORMATION IS TRUE AND CORRECT & AUTHORIZE ITS VERIFICATION.

Decks By Design, Inc.

11763 Igneous Dr. - Fishers, In. 46038

770-6062 (Office) - 770-3665 (Fax)

www.decksbydesign.com