How did you learn about CII?
Employee Referral
Trade School / Apprenticeship Program
Walk-In
Company Website
Hiring Event / Job Fair
Previous Employee
Other
If you were referred by a current or former employee, who referred you?
How do you know the person who referred you?
Friend
Family Member
Former Coworker
Supervisor
Other
What is your preferred language for communication?
English
Spanish
English or Spanish (Bilingual)
Other
For purposes of compliance with applicable laws concerning the employment of illegal immigrants, will you be able to provide proof of employability if extended an offer of employment?
Yes
No
Have you filed an application here before? If yes, list the date.
Are you currently employed?
Yes
No
When could you start work at CII?
Are you currently on “Lay-Off” status and subject to recall?
Yes
No
What type of work schedule are you looking for?
Full Time
Part Time
Temporary
Are you willing to work night shifts?
Yes
No
Are you willing to work weekends?
Yes
No
Can you travel if a job requires?
Yes
No
If yes, how often are you willing to travel?
Home every night
A few days at a time
One week at a time
Two weeks at a time
One month or longer
Any duration needed
Have you ever been convicted of a crime? If yes, please list the number of convictions, nature of offenses leading to convictions, how recently such offenses were committed, sentences imposed, and types of rehabilitation.
Date of Birth (DOB)
Social Security Number (SSN)
Do you have a valid driver’s license?
Yes
No
Do you have reliable transportation?
Yes
No
Have you worked in insulation before?
Yes
No
If yes, what type of insulation experience do you have?
Years of insulation experience
None
Less than 3 months
Less than 1 year
1–3 years
3+ Years
Do you currently hold a valid OSHA 10 certification?
Yes
No
Do you currently hold a valid OSHA 30 certification?
Yes
No
Highest Education Completed
High School
GED
Trade School
Some College
Associate Degree
Bachelor's Degree
Have you served in the U.S. Armed Forces?
Yes
No
Military Service:
If applicable, please provide the following information regarding your military service.
- Branch
- Military Specialty
- Dates of Service
What is your T-shirt size?
Small
Medium
Large
Extra Large
1X Large
2X Large
3X Large
Additional Information:
Why are you interested in working for Central Indiana Insulation?
Additional Information:
Is there anything else you'd like us to know?
"I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal, and I agree to hold my employer harmless in the event of my dismissal based thereon.
I authorize investigation of all statements contained herein and to do background checks to give you and all information concerning my previous employment and any pertinent information they may have, confidential or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you.
I realize that under certain legal provisions, pre-employment drug testing could be a condition of my employment. I also acknowledge that the employer may require drug testing at a subsequent time providing that proper advance notice of testing is provided.
I also recognize that I could be offered employment subject to appropriate medical examination and that such a report could nullify my ultimate employment by this employer. I agree to submit to physical examination if required.
I understand and agree that, if hired, my employment is for no definite period and may, regardless of the method of payment of my wages and salary, be terminated at any time without prior notice. If employment is obtained under this application, I will comply with all the rules and policies of my employer."
AN EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER
This employer does not discriminate in hiring or employment on the basis of age, race, color, sex, religion, national origin, disability, military or veteran status
I understand and accept the