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Upstate Interiors
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3313 Chili Avenue, Rochester, New York 14624.
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Knofi@upstateinteriorsllc.com
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(585) 507-2715
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Application Form
Applicant Information
(Required)
First
Last
(Required)
Street Address
City
State / Province / Region
Date
(Required)
MM slash DD slash YYYY
Email*
(Required)
Cell Phone*
(Required)
Emergency Contact Number*
(Required)
Shirt Size
(Required)
Select Size
S
M
L
XL
2XL
Education
H.S. Graduate*
(Required)
Yes
No
If No:
Do you have a GED?
Are you in a program to get your GED?
Do you have a valid Driver’s License?*
(Required)
Yes
No
Work History
Are you currently employed?*
(Required)
Yes
No
Where are you employed?*
(Required)
Do you have construction related experience?*
(Required)
Yes
No
If yes, please describe your experience*
(Required)
Do you have any physical/health condition that would prevent you from performing construction related tasks?*
(Required)
Ability
Please describe a character trait of yours that makes you an asset to the company.*
(Required)
References
Please list two references.*
(Required)
Signature*
(Required)
Date*
(Required)
MM slash DD slash YYYY
