Modern Builders Supply, INC.
  1. Modern Builders Supply, Inc. Application for Employment
  2. Want to mail an application or apply in person? Click here to download a PDF form
    that you can print and return to us through the mail or at our home office in Austintown.
  3. (required)

  4. (required)
  5. (required)

  6. (required)
  7. (required)
  8. (required)
  9. Y N
  10. Y N
  11. Y N
  12. 1ST 2ND
  13. Y N
  14. Type of School

    Name of School

  15. Complete Address

  16. Years Completed

  17. Major/Degree

  18. Please list two references, other than relatives or previous employers, who have knowledge of your work experience and/or education.
  19. Please list your work experience for the past five (5) years beginning with your most recent job held.
    If you were self-employed, give the firm name.

    Click 'ADD MORE' to add more job experience.













  20. Do you have any qualifications that relate to the position you are applying for:

  21. Y N
  22. Y N
  23. Y N
  24. Y N
  25. Equipment Class

  26. Date of Operation

  27. Average Weekly Mileage



  28. List all accidents you were involved in in the past 10 years regardless of whether fault was assigned.
  29. Date of Accident

  30. Location

  31. Nature of Accident

  32. Fatalities?

  33. Injuries?



  34. List all moving and non-moving violations (other than parking violations) for the past 10 years.
  35. Date of Citation

  36. Location

  37. Nature of Citation

  38. Fine or Penalty

  39. Disposition




  40. I hereby authorize the investigation of all statements contained in this application and on my resume, if provided. I certify that all statements made on this application (and on my resume if provided) are true. I understand that misrepresentations or omissions of facts are cause for termination of employment without notice, regardless of when the misrepresentation or omission might be discovered. I also understand that this application is not intended to, nor does it, create a contract of employment, and if this application leads to employment, my employment will be at-will. I also understand that this application does not obligate the employer in any way, should the employer decide to employ me.

  41. It is Modern Builders Supply's policy to comply with
    all applicable state and federal laws prohibiting discrimination in employment
    based on race, age, color, sex, disability, religion, national origin,
    or any other protected classification.

    Modern Builders Supply, INC.
    MBS
    Polaris Windows & Doors
    MBS Interiors
    Buy MBS

    Home Improvement Supply
    MBS Services
    MBS Logistics
    MBS Ready 2 Roof




  42. It is the policy of Modern Builders Supply, Inc. to provide equal employment opportunity to all qualified applicants for employment without regard to race, color, religion, national origin, sex, age, veteran status or disability. Various agencies of the government require employers to invite applicants to identify themselves as indicated below.

    COMPLETION OF THIS PORTION IS VOLUNTARY AND IN NO WAY AFFECTS THE DECISION REGARDING YOUR APPLICATION FOR EMPLOYMENT. THIS FORM IS CONFIDENTIAL AND WILL BE MAINTAINED SEPARATELY FROM YOUR EMPLOYMENT APPLICATION.

  43. Male    Female


  44. White: a person having origins in any of the original peoples of Europe, the Middle East or North America

  45. Hispanic or Latino/a: a person of Mexican, Puerto Rican, Cuban, Central or South American or other Spanish culture or origin, regardless of race

  46. American Indian/Alaskan Native: a person having origins in any of the original peoples of North America, and who maintains cultural identification through
    tribal affiliation or community recognition

  47. Black/African American: a person having origins in any of the black racial groups of Africa

  48. Asian/Pacific Islander: a person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian subcontinent or the pacific islands, including, for example, China, India, Japan, Korea, the Philippine Islands and Samoa

  49. I do not wish to Self-Identify
  50. (required)





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