One Call Handyman Services in Georgia

                Call Today:  770-926-9261                                                                            

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One Call Home Preservation

999 Bailey Road, Woodstock, GA 30188

Phone:  404-931-8931



Vendor Application

Applicant Information

  Required fields*

Date:  (Example: 04/21/11)



Full Name: (First, MI, Last) *       


Address: (Street or Apt#)  *


City:   *  State:   *  Zip: * (Example: 30144)


Home Phone: (Example: 4049318931)  *  Cell Phone:       Email: *


Date Available:   * (Example: 02/04/11)   SS#(bring with you)      Desired Hourly Wage: (Example: 0.00) *


Position Applied for: *



Are you a citizen of the United States?   *   Are you authorized to work in the U.S.?    *


Have you ever worked for this company?   *  If yes when?   (Example: 04/50/11)  



Reason for leaving: (explain) 



Have you ever been arrested or convicted of a felony?  *    



If yes, explain:   



What type of vehicle do you have?    *


Are you willing to use your vehicle for work?    *


How did you hear about us?  *   Other: 




  Please list 3 professional references;


  Full Name:   *    Relationship: *   Phone: (Example: 4044221234) *


  Company:   *         Address:  *




  Full Name:    *    Relationship:  *   Phone: (Example: 4044221234) *


  Company:     *         Address:  *




  Full Name:    *    Relationship:  *   Phone: (Example: 4044221234) *


  Company:      *         Address: *


Previous Employment



  Company:  *        Supervisor Phone :   *  (Example: 4044201234)



    Address: *           Job Title: *    


   Starting Salary$:  *   Ending Salary$: *  (Example: 0.00)



  Responsibilities: *    


  From: (Example: 02/24/11)  *   To:  *



  Reason for Leaving:  * May we contact your supervisor for a reference?   *




  Company:         Supervisor Phone :    (Example: 4044201234)


   Address:              Job Title:   


  Starting Salary$:       Ending Salary$:       (Example: 0.00)





  From: (Example: 02/24/11)     To: 



  Reason for Leaving:  May we contact your supervisor for a reference?   




   Company:               Supervisor Phone:   (Example: 4044201234)


   Address:               Job Title:   


   Starting Salary$:          Ending Salary$:     (Example: 0.00)





  From: (Example: 02/24/11)    To: 



  Reason for Leaving:    May we contact your supervisor for a reference?   



Other Experience


  On a scale of 0 to 5, 0 being none and 5 being excellent, please rate your skill in these areas:  *(all fields are required)



General Handyman       Window Cleaning     Carpet Laying           Yard Maintenance  
Painting                        Sm.Engine Repair     Strip/Wax Floors      Carpet Cleaning      
Electrical                      Plumbing                   Framing                    Roofing                    
  HVAC                         Maid                          



  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.

Your acceptance is documented by inserting your initials and clicking the submit button.

Initials: *

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