<p>Gabe’s Home Improvement, LLC 631 West Maple Avenue North, Springfield, IL 62702 217-793-3341 Employment Application</p><p>APPLICANT INFORMATION</p><p>Last Name First M.I. Date</p><p>Street Address Apartment/Unit #</p><p>City State ZIP How Long at Phone Years Months Present Address? Date Available Social Security No. Desired Salary</p><p>Position Applied for</p><p>Are you a citizen of the United States? YES NO If no, are you authorized to work in the U.S.? YES NO Have you ever applied for employment with YES NO If so, when? this company? Have you ever been convicted of a felony? YES NO If yes, explain</p><p>Are there any reasons for which you might not be able to perform the job duties (with a reasonable accommodation)? YES NO </p><p>If yes, please explain.</p><p>Do you have a valid driver’s license? YES NO Any Violations: YES NO EDUCATION</p><p>High School Address</p><p>From To Did you graduate? YES NO </p><p>College Address</p><p>From To Did you graduate? YES NO Degree REFERENCES</p><p>Please list three professional references.</p><p>Full Name: Relationship:</p><p>Company: Phone:</p><p>Address:</p><p>Full Name: Relationship:</p><p>Company: Phone:</p><p>Address:</p><p>Full Name: Relationship:</p><p>Company: Phone:</p><p>Address: PREVIOUS EMPLOYMENT</p><p>Company: Phone:</p><p>Address: Supervisor:</p><p>Job Title: Starting Salary: $ Ending Salary: $</p><p>Responsibilities:</p><p>From: To: Reason for Leaving:</p><p>YES NO May we contact your previous supervisor for a reference?</p><p>Company: Phone:</p><p>Address: Supervisor:</p><p>Job Title: Starting Salary: $ Ending Salary: $</p><p>Responsibilities:</p><p>From: To: Reason for Leaving:</p><p>YES NO May we contact your previous supervisor for a reference?</p><p>Company: Phone:</p><p>Address: Supervisor:</p><p>Job Title: Starting Salary: $ Ending Salary: $</p><p>Responsibilities:</p><p>From: To: Reason for Leaving:</p><p>YES NO May we contact your previous supervisor for a reference? </p><p>MILITARY SERVICE</p><p>Branch From To</p><p>Rank at Discharge Type of Discharge</p><p>If other than honorable, explain</p><p>DISCLAIMER AND SIGNATURE</p><p>I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.</p><p>Signature Date</p><p>Please rank your level of skill in the following fields with 1 being the least amount of skill and 10 the highest. 1. Framing</p><p>1 2 3 4 5 6 7 8 9 10</p><p>1. Deck Building</p><p>1 2 3 4 5 6 7 8 9 10</p><p>2. Replacement Window Installation </p><p>1 2 3 4 5 6 7 8 9 10</p><p>3. Pre-hung Replacement Windows </p><p>1 2 3 4 5 6 7 8 9 10</p><p>4. Door Hardware Installation</p><p>1 2 3 4 5 6 7 8 9 10</p><p>5. Siding Installation</p><p>1 2 3 4 5 6 7 8 9 10</p><p>6. Soffit & Fascia</p><p>1 2 3 4 5 6 7 8 9 10</p><p>7. Brake work</p><p>1 2 3 4 5 6 7 8 9 10</p><p>8. Wrapping Windows & Doors</p><p>1 2 3 4 5 6 7 8 9 10</p><p>9. Caulking</p><p>1 2 3 4 5 6 7 8 9 10</p><p>10. Inside Trim – Doors & Windows </p><p>1 2 3 4 5 6 7 8 9 10 </p><p>11. Inside Trim – Base</p><p>1 2 3 4 5 6 7 8 9 10 12. Inside Trim – Crown Molding</p><p>1 2 3 4 5 6 7 8 9 10</p><p>13. Drywall Installation</p><p>1 2 3 4 5 6 7 8 9 10</p><p>14. Drywall Finishing</p><p>1 2 3 4 5 6 7 8 9 10</p><p>15. Painting</p><p>1 2 3 4 5 6 7 8 9 10</p><p>16. Staining</p><p>1 2 3 4 5 6 7 8 9 10</p><p>17. Roofing</p><p>1 2 3 4 5 6 7 8 9 10</p><p>18. Plumbing</p><p>1 2 3 4 5 6 7 8 9 10</p><p>19. Electrical</p><p>1 2 3 4 5 6 7 8 9 10</p><p>20. Sunrooms</p><p>1 2 3 4 5 6 7 8 9 10</p><p>21. Screenrooms</p><p>1 2 3 4 5 6 7 8 9 10</p><p>22. Patio Covers</p><p>1 2 3 4 5 6 7 8 9 10</p>