White Birch Builders, LLC
18 Beech Street
Greenwich CT 06830
203-531-0300

Employment Inquiry

THANK YOU FOR YOUR INTEREST IN OUR COMPANY. PLEASE COMPLETE FORM IN DETAIL. BE SPECIFIC AND FILL IN ALL APPROPRIATE BLANKS. ALL INFORMATION GIVEN WILL BE HELD IN STRICT CONFIDENCE.

WHITE BIRCH BUILDERS, LLC IS AN EQUAL OPPORTUNITY EMPLOYER. IT IS OUR POLICY THAT ALL APPLICANTS BE CONSIDERED SOLELY ON THE BASIS OF QUALIFICATIONS AND ABILITY. WITHOUT REGARD TO RACE, RELIGION, COLOR, SEX, AGE, NATIONAL ORIGIN, DISABILITY OR VETERAN STATUS

Position:    Referred From:   
Applicant Information:
Last Name:   First Name:   Middle Initial:
Address:
City:   State:   Zip:
Phone:     Alternate Phone:    
EMail:
Are you legally allowed to work permanently in the US?:  
Have you ever been convicted of a serious crime?:  
If yes, please explain:
Please list your relevant experience and skills (be as specific as possible):
Please list your relevant tools, equipment and transportation:
Requested Wage:
Personal References:
Name:   Relationship:   Telephone:
Name:   Relationship:   Telephone:
Name:   Relationship:   Telephone:
Employment History:
Previous/Current Employer:  
Address:
City:   State:   Zip:
Dates of Employment:   Last Wage:
Please list your duties/responsibilities (be as specific as possible):
If you are leaving your current employer, please state why:
May we contact this employer?:  
Contact Name:   Telephone:
Additional Information:
Please list any other information you would like to share: