CIS Office Installers Employment Survey

First Name

Last Name

Address

City

State

Zipcode

Telephone

Email Address

What position are you applying for? What position are you applying for? Warehouse Helper Furniture Installer

Are you presently employed? Are you presently employed? Yes No

Availability

Do you have a driver's license? Do you have a driver's license? Yes No

Do you have reliable transportation? Do you have reliable transportation? Yes No

Can you drive a box truck? Can you drive a box truck? Yes No

Do you have a medical card? Do you have a medical card? Yes No

Do you own hand/power tools? Do you own hand/power tools? Yes No

Do you have any installation experience? Do you have any installation experience? Yes No

Experience with material handling equipment (pallet jacks, forklifts, etc.)

List any hobbies:

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