Workforce Training Application

WORKFORCE TRAINING APPLICATION

EDUCATION & SPECIALIZED TRAINING (Page 2 of 4)
Highest Level or Equivalent Completed*
Did you graduate High School?*

Yes No
High School
Did you receive a GED?

Yes No
Received from
Specialized training such as business, correspondence, vo-tech school, etc:
Did you graduate College?

Yes No
College
Total Semester Hours
Degree
Courses Related to Position Applied For:

EMPLOYMENT HISTORY (Page 3 of 4)
Previous or Present Employer
Employer Address
Employer Phone Number
From Date:
To Date:
If this is a present employer, may we contact for a reference?

Yes No
Job Duties
How many years of construction experience?*
What type of construction experience?
OTHER QUALIFICATIONS
List any specific experience or skills you have. (Include equipment operated.)

SIGNATURE (Page 4 of 4)
Check box if you agree.*

I understand that nothing contained in this registration, or in any oral representations made to me during the evaluation process, may create an employment contract between HoustonWorks USA and myself.
Check box if you agree.*

I also understand that all statements made are open to investigation by HoustonWorks USA, and that if any information given by me in this application, is found to be false or misleading, I will be subject to dismissal from the program at any time during the period of my training, and I agree to hold HoustonWorks USA and persons named herein blameless in that event. I affirm that everything is true and correct, and I acknowledge that I can be removed from the program at any time if it turns out that any information I supply is false. I affirm that I have a genuine intent and no other purpose in registering for the Workforce Training Program with HoustonWorks USA.
Check box if you agree.*

RELEASE: I hereby authorize HoustonWorks USA, employees, or their agents to investigate and compile a complete history of my former employment together with any/and all information concerning my ability, personal character, criminal conviction record, etc. and I release the same HoustonWorks USA officers, employees, or their agents from all liability for damages whatsoever for the gathering of information concerning me for HoustonWorks USA. HoustonWorks USA will not rent, share, or otherwise disclose mailing list or other personally identifiable information with any third parties. I further release previous employers and any law enforcement agency from all liability for damages whatsoever for furnishing any information concerning me to HoustonWorks USA.
Signature (Type Full Name)*
Date (Today's Date)*
Should be Empty:

WORKFORCE TRAINING APPLICATION

GENERAL INFORMATION (Page 1 of 4)

EDUCATION & SPECIALIZED TRAINING (Page 2 of 4)

EMPLOYMENT HISTORY (Page 3 of 4)

OTHER QUALIFICATIONS

SIGNATURE (Page 4 of 4)