Subcontractor Payroll

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					Subcontractor/payroll employee - Workmen’s comp -

Subcontractor – Starting rate $8.00 - $10.00 per hour depending on what I know about your
                abilities.

                You will have to carry your own liability Insurance.
                Having your own hand tools will be necessary.
                It might be necessary to be set up as a subcontractor in order to cash checks
                       from me through the county. $25.00 fee.
                Hours: normally Monday – Friday 8:00am – 4:30pm with a ½ hr unpaid lunch
                       break normally from 12:00pm – 12:30pm or 12:30pm – 1:00pm
                       depending on where we are on a job. This tends to be flexible.
                       Saturdays and Sundays only when necessary. Longer hours during
                       spring and summer months.
                No guarantee of hours temporary to full time 20 – 40 hrs per week. Can be
                       less could be more depending on the time of year and what is going
                       on.
                2 week notices when leaving.
                Loyalty – No bailing during a job.
Employment Application for                         M&J Building Contractors Inc.
                                                   Mark W. Cartwright Proprietor
                                                   7401 County Rte. 77
                                                   Prattsburgh, NY 14873
                                                   Telephone: 607-522-3378
                                                   Fax: 607-522-7379

Social Security No._____________________
Name:____________________________________ Street Address:______________________
Apt. No. or Box:_________ City:____________________ State:___________ Zip:_________
Area code:_______ Phone Number:__________________________
Are you older than 18? Yes_____ No_____ If not Birth Date:________________

Availability

Total hours available per week:________________
Are you legally able to be employed in the U.S.? : Yes_____ No_____
How did you hear of the job?:______________________________________________
How far from Prattsburgh, NY do you live?:___________________________________
Do you have Transportation?:_________________

School History

College:

Name:_________________________________ Years Completed: 1__2__3__4__
Major:_________________________________ Graduated?: Yes_____ No_____
Street Address:__________________________ City:__________________
State:_________ Zip:_________ Area Code______ Phone No.___________________
Teacher or Counselor:____________________________________________________

High School:

Name:_________________________________ Years Completed: 1__2__3__4__
Major:_________________________________ Graduated?: Yes_____ No_____
Street Address:__________________________ City:__________________
State:_________ Zip:_________ Area Code______ Phone No.___________________
Teacher or Counselor:____________________________________________________


Recent Job (If not applicable, List work performed on a volunteer basis or personal
references.)

   1) Company:______________________ Street Address:________________________
      Area Code: _____ Phone Number:____________________
      Job:________________________________________________________________
      Supervisor:_________________________ Dates Worked: From_______ To_______
      Salary:_____________________ Reason for Leaving:___________________________
Employment Application for                          M&J Building Contractors Inc.
                                                    Mark W. Cartwright Proprietor
                                                    7401 County Rte. 77
                                                    Prattsburgh, NY 14873
                                                    Telephone: 607-522-3378
                                                    Fax: 607-522-7379

   2) Company:______________________ Street Address:________________________
      Area Code: _____ Phone Number:____________________
      Job:________________________________________________________________
      Supervisor:_________________________ Dates Worked: From_______ To_______
      Salary:_____________________ Reason for Leaving:___________________________

   3) Company:______________________ Street Address:________________________
      Area Code: _____ Phone Number:____________________
      Job:________________________________________________________________
      Supervisor:_________________________ Dates Worked: From_______ To_______
      Salary:_____________________ Reason for Leaving:___________________________

   U.S. Military: Branch of Service:___________________ Date Entered:_____________
                 Date of Discharge: _____________ Highest Rank: ____________________
                 Do you have service-related skills and experience applicable to civilian
                 employment?: Yes_____ No_____ If Yes
                 Describe:_____________________________________________________

   Current Working Status:_______________________________________________

   Building Related Working Experiences:_______________________________________

   Building Related Working Experiences
   References:_______________________________________________________________
   _________________________________________________________________________

   General: What other relevant experience or training have you had and what other
   activities are you involved in? (Exclude organizations that indicate race, religion, age, or
   national origin of members.)
   _________________________________________________________________________
   _________________________________________________________________________


   During the Past 7 years, have you ever been convicted of, pled guilty to or pled no contest
   to a crime, excluding misdemeanors and traffic violations? Yes_____ No_____ If Yes
   describe in full:____________________________________________________________
   Answering yes will not necessarily bar you from employment.
Employment Application for                           M&J Building Contractors Inc.
                                                     Mark W. Cartwright Proprietor
                                                     7401 County Rte. 77
                                                     Prattsburgh, NY 14873
                                                     Telephone: 607-522-3378
                                                     Fax: 607-522-7379




   I certify that I have read this application and the information on it is complete and correct.
   I understand that any omissions or misrepresentation of information is grounds for
   dismissal. I authorize the persons, employers, schools, and organizations listed on this
   application to give you any information concerning my employment and other pertinent
   information that they may have, personal and otherwise and release all parties from all
   liability and damages that may result from furnishing this to you.


   Signature:_____________________________________________ Date:______________

				
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Description: Subcontractor Payroll document sample