EMPLOYMENT APPLICATION FOR EMPIRE REMODELING KC 6-27-25 * Empire Remodeling KC

EMPIRE REMODELING KC EMPLOYMENT APPLICATION

APPLICANT INFORMATION
Full Name*
First Middle Last
Upload Resume
Please upload your resume if you have one.
Drop files here or

Max. file size: 50 MB.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Email*
Date Available
MM slash DD slash YYYY
Desired $ hourly wage
Position Applied For:*
Are you a U.S. Citizen?
- Yes
- No
If No, are you authorized to work in the U.S.?
- Yes
- No
Are you an alien lawfully authorized to work in the United States
- Yes
- No
Do you have a valid drivers license?
(Proof of insurance and driving record required for employment) A copy of your driving record can be obtained at the local DMV.
- Yes
- No
Has your drivers license been suspended in the last 5 years?
(Proof of insurance and driving record required for employment) A copy of your driving record can be obtained at the local DMV.
- Yes
- No
Have you been arrested in the last 10 years? (This is not a disqualifying questions, but is required since we are working in occupied homes).
- Yes
- No
If yes, please explain.*
If Yes, when did you work for us before?
Have you ever been convicted of a felony?
- Yes
- No
If Yes, please explain.
Have you ever worked for this company before?
- Yes
- No
Special Skills

For each skill below, rate yourself on a scale of 0 to 5 in ability. Enter the appropriate number in the box provided under each skill listed.
0 - no skill, 1 - little skill, 2 - some skill, 3 - proficient skill, 4 - mastered the skill, 5 - excellent skill.
Sales
Please enter a number from 0 to 5.
Interior Design or Design
Please enter a number from 0 to 5.
Project Manager
Please enter a number from 0 to 5.
Bookkeeping
Please enter a number from 0 to 5.
Admin
Please enter a number from 0 to 5.
Framing
Please enter a number from 0 to 5.
Sheetrock
Please enter a number from 0 to 5.
Electrical
Please enter a number from 0 to 5.
Plumbing
Please enter a number from 0 to 5.
Painting
Please enter a number from 0 to 5.
Trim Carpentry
Please enter a number from 0 to 5.
Door/Window Installation
Please enter a number from 0 to 5.
Welding
Please enter a number from 0 to 5.
Masonry
Please enter a number from 0 to 5.
Tiling
Please enter a number from 0 to 5.
Roofing
Please enter a number from 0 to 5.
Siding
Please enter a number from 0 to 5.
Fencing
Please enter a number from 0 to 5.
Heavy Equipment
Please enter a number from 0 to 5.
Other Skills or Abilities that would be helpful to use at Empire Remodeling KC
EDUCATION
High School
High School Address
Street Address Address Line 2 City State ZIP Code
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Did you graduate?
- Yes
- No
Did you attend college?
- Yes
- No
College
College Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
From
MM slash DD slash YYYY
Date
MM slash DD slash YYYY
Other Eductaion
- Yes
- No
Name of Institution?
Other Education Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
PROFESSIONAL REFERENCES

Please list three professional references.
Reference 1 Name
First Last
Relationship?
Company?
Reference 1 Phone
Reference 1 Address
Street Address Address Line 2 City State ZIP Code
Reference 2 Name
First Last
Relationship?
Company?
Reference 2 Phone
Reference 2 Address
Street Address Address Line 2 City State ZIP Code
Reference 3 Name
First Last
Relationship?
Company?
Reference 3 Phone
Reference 3 Address
Street Address Address Line 2 City State ZIP Code
PREVIOUS EMPLOYMENT
Company 1
Company 1 Phone
Company 1 Address
Street Address Address Line 2 City State ZIP Code
Company 1 Supervisor
First Last
Company 1 Job Title
Company 1 Starting Salary
Company 1 Ending Salary
Company 1 Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for leaving?
May we contact your previous supervisor for a reference?
- Yes
- No
Company 2
Company 2 Phone
Company 2 Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Company 2 Supervisor
First Last
Company 2 Job Title
Company 2 Starting Salary
Company 2 Ending Salary
Company 2 Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for leaving?
May we contact your previous supervisor for a reference?
- Yes
- No
Company 3
Company 3 Phone
Company 3 Address
Street Address Address Line 2 City State ZIP Code
Company 3 Supervisor
First Last
Company 3 Job Title
Company 3 Beginning Salary
Company 3 Ending Salary
Company 3 Responsibilities
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Reason for leaving?
May we contact your previous supervisor for a reference?
- Yes
- No
Background Check
I hereby give consent to any and all prior employers of mine to provide information with regard to my employment with prior employers to Empire Remodeling KC*
- I Agree
- I Disagree
Signature*
Signing here provides authorization to contact any of the above approved previous employers or does not allow contact with previous employers based on the above selection.
MILITARY SERVICE
Have you served in the military?
- Yes
- No
Which Branch of the Military did you serve?*
- Army
- Air Force
- Marine Corps
- Navy
- Coast Guard
From
MM slash DD slash YYYY
To
MM slash DD slash YYYY
Rank at Discharge:
Type of Discharge
If other than honorable, explain:
BACKGROUND CHECK
Background Authorization*
I hereby authorize Empire Remodeling and/or its agents to make investigation of my background, references, character, past employment, education and criminal history record information which may be in any state or local files, including those maintained by both public and private organizations, and all public records, for the purpose of confirming information contained on my application and/or obtaining other information which may be material to my qualifications for employment. A Fax, photocopy or emailed copy of this consent shall be considered as valid as the original consent.
- I Agree
- I Disagree
DISCLAIMER & SIGNATURE

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.
Consent*
I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application or immediate termination of employment.
I agree
Name
First Last
Signature
Todays Date
MM slash DD slash YYYY
Other Information You Feel is Helpful
Untitled

Welcome to the Empire Remodeling Team! We are excited to have you on board.

NEW HIRE INFORMATION FOR EMPLOYEES & 1099 CONTRACTORS

APPLICANT INFORMATION
Todays Date
MM slash DD slash YYYY
Full Name*
First Middle Last
Personal Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Date of Birth
Please enter your Date of Birth for verification of Background check information.
Background Authorization*
I hereby authorize Empire Remodeling KC and/or its agents to make investigation of my background, references, character, past employment, education and criminal history record information which may be in any state or local files, including those maintained by both public and private organizations, and all public records, for the purpose of confirming information contained on my application and/or obstaining other information which may be material to my qualifications for employment. A Fax, photocopy or emailed copy of this consent shall be considered as valid as the original consent.
- I Agree
- I Disagree
Emergency Contact
First Last
Relationship
Emergency Contact Phone*
Upload Social Security Card -- or provide a paper copy in person
Drop files here or

Max. file size: 50 MB.
Upload Front of Driver's License -- or provide a paper copy in person
Please upload a camera shot of the front of your Driver's License
Drop files here or

Max. file size: 50 MB.
Upload Back of Driver's License -- or provide a paper copy in person
Please upload a camera shot of the back of your Driver's License
Drop files here or

Max. file size: 50 MB.
Complete Page 1 -- SECTION 1 of I-9 Form -- or provide a paper copy in person
https://www.uscis.gov/sites/default/files/document/forms/i-9.pdf
Drop files here or

Max. file size: 50 MB.
Complete W-4 Employees -- please copy and paste link below in your browser -- or provide a paper copy in person
https://www.irs.gov/pub/irs-pdf/fw4.pdf
Drop files here or

Max. file size: 50 MB.
Complete W-9 for 1099 Contract Labor -- please copy and paste link below in your browser -- or provide a paper copy in person
https://www.irs.gov/pub/irs-pdf/fw9.pdf
Drop files here or

Max. file size: 50 MB.
Anything else you would like us to know or be aware of?
DISCLAIMER & SIGNITURE

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.
Consent*
I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of this application or immediate termination of employment.
I agree
Name
First Last
Signature

Empire Remodeling KC

Serving Kansas City Metro Area since 2008

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EMPIRE REMODELING KC EMPLOYMENT APPLICATION

APPLICANT INFORMATION

Special Skills

EDUCATION

PROFESSIONAL REFERENCES

PREVIOUS EMPLOYMENT

Background Check

MILITARY SERVICE

BACKGROUND CHECK

DISCLAIMER & SIGNATURE

NEW HIRE INFORMATION FOR EMPLOYEES & 1099 CONTRACTORS

APPLICANT INFORMATION

DISCLAIMER & SIGNITURE

Get our design guide today!