Wood, Patel & Associates, Inc.

Application for Employment

We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, or any other legally protected status.

Wood/Patel participates in E-Verify. Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.

If you have any documents to submit with this completed application, please attach them here
(Adobe PDF or Word DOC format please, maximum 500KB per document):

Cover Letter:


Resume:


Miscellaneous:


Until we decide to arrange an interview with you, our primary method of correspondance will be via e-mail. Items in bold are required.

Position Desired: Date:
Desired Salary: Date Available:
Name:
Address:
Home Phone: Cell Phone:
E-Mail::

How did you hear of Wood/Patel?


Are you 18 years of age or older?
Yes | No

Are you lawfully eligible to work in the United States?
Yes | No

Do you have a valid driver's license (if the position you are applying for requires one)?
Yes | No | N/A

Have you ever been convicted of a crime, in any domestic, foreign or military court (regardless of whether the conviction was set aside or expunged)?
Yes | No

Are there any charges pending against you at this time?
Yes | No

If either of the two above questions was answered "yes", please state citation, date, and jurisdiction where offense occured:


Is there any other name which you have worked that we would need in order to check your work record? If so, please provide:



Working conditions desired:
Check as many as are applicable.
Unchecked conditions are assumed to be "No."

Full time:
Part Time:
On-Call:

Foreign Language (indicate fluent of working knowledge):


Fundamentals of Engineering/Land Surveying Exam successfully completed?
Yes | No

Date taken:


Date scheduled:


Professional Registration:
Yes | No

Field(s) State(s) Registration No(s). Year Issued

Employment History

Beginning with your current or most recent job, list all previous employers and provide a description of duties. If applicable, include military and unpaid volunteer experience, and provide explanation for any periods of unemployment.

Dates
 Employer's Name
Job Title
Hours/Week
Street Address
City
State
Salary
Supervisor/Title
Reason for leaving
Phone
Duties/Responsibilities:

Dates
Employer's Name
Job Title
Hours/Week
Street Address
City
State
Salary
Supervisor/Title
Reason for leaving
Phone
 
Duties/Responsibilities:

Dates
Employer's Name
Job Title
Hours/Week
Street Address
City
State
Salary
Supervisor/Title
Reason for leaving
Phone
 
Duties/Responsibilities:

Dates
Employer's Name
Job Title
Hours/Week
Street Address
City
State
Salary
Supervisor/Title
Reason for leaving
Phone
 
Duties/Responsibilities:

Comments: Include explanation of any gaps in employment

Education

  Name & Location of School Years Attended Degree, Certificate or Diploma Subject/Major
High School
College or University
College or University
Business or Vocational
Specialized Training

Professional References

Please list three individuals not related to you, whom you have known for at least one year in an employment-related capacity, and who may be contacted by Wood/Patel.

  Name Address & Telephone Relationship Years Acquainted
First Reference
Second Reference
Third Reference

Describe any specialized training, apprenticeship skills, and extra-curricular activities

List professional, trade, business or civic activities and offices held
You may exclude membership which would reveal gender, race, religion, national origin, age, ancestry, or other protected status

Additional Information - Other Qualifications
Summarize special job-related skills and qualifications acquired from employment or other experience.

Please confirm that all required fields are entered, and that the contents of each field is accurate. After confirmation, please submit the application.

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Wood, Patel & Associates, Inc.
2051 West Northern Avenue, Suite 100, Phoenix, Arizona 85021
Phone (602) 335-8500 · HR Fax (602)926-2251
Additional Offices in Mesa · Tucson · Goodyear
http://www.woodpatel.com