Office Electronic Application IntroductionEducation & TrainingWork ExperienceResume & Cover LetterVoluntary Self ID0% Complete1 of 5 H.J. Martin and Son, Inc. Office Application for Employment Thank you for your interest in H.J. Martin and Son, Inc. Please fill out the form below. When completed and submitted, you will receive a confirmation code and the form will then be sent to the Human Resources department. Please use your code when following up about your submission. If you have any questions regarding your submission, please email Human Resources at [email protected] or call 920-494-3461. Thank you. H.J. Martin and Son, Inc., (the "Company") is an equal opportunity employer. Employment decisions are based on merit and business needs and not on race, color, citizenship status, gender, sexual orientation, age, religion, disability, marital status, or any other characteristic protected by law. Personal Information First Name * Middle Initial Last Name * Address * Address Address Line 1 Address Line 1 Address Line 2 Address Line 2 City City State/Province State/Province Zip/Postal Zip/Postal Email * Phone * Emergency Contact Information Emergency Contact Name * Emergency Contact Phone Number * Emergency Contact Address * Emergency Contact Address Address Line 1 Address Line 1 Address Line 2 Address Line 2 City City State/Province State/Province Zip/Postal Zip/Postal Country AfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCôte d'IvoireCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussiaRwandaSaint BarthelemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint Maarten (Dutch part)SlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Emergency Contact Relationship to Employee * General Information Position applying for or type of employment desired * Choose One...AccountingAdministrativeCrew CoordinatorEstimatorInterior DesignerInternshipProject CoordinatorProject ManagerSafetySummer HelperOther If "other", please explain Are you applying for a specific division? Choose One...Glass & GlazingWalls & CeilingsFlooringDoors & HardwareMillwork InstallationFloorcareNational FixturesNo specific division Are you able to perform the essential functions of the job you are applying for, with or without reasonable accommodation? * Choose One...YesNo If no, please list the reasons why you are unable to perform the essential functions of the job you are applying for. Do you have a valid state driver's license? * Choose One...YesNo Were you referred to H. J. Martin and Son, Inc.? * Choose One...YesNo If yes, who referred you? (Please list legal name and relationship to you.) Were you referred to H.J. Martin and Son, Inc. through a program or school? * Choose One...YesNo If you were referred by a program or school, please list the program or school name. If you were not referred, how did you hear about the open position at H. J. Martin and Son, Inc.? Are you legally authorized to work in the US? * Yes No Are you 18 years or older? * Yes No Are you able to travel for extended periods of time? * Yes No Will Accept: * Choose One...Full-timePart-timeTemporarySummerAny Do you have any pending criminal charges or convictions? Consideration will only be given to the pending charges or convictions if the offenses are substantially related to the position for which you are applying. * Hourly or Annual Salary Desired * Date Available * List all pertinent skills and equipment that you can operate * Next Δ
