Apply for Flooring Journeyman

Please fill out the form below and click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Title:Flooring Journeyman
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Home Phone:
Mobile Phone:
* Email:
* Social Security #:
Previous Name:
Cover Letter:
You can type in a Cover Letter or Copy/Paste from an existing document.
Blakley's Application for Employment
Blakley's is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, qualified veteran status, or disability.
I understand that Blakley's uses the E-Verify system.

* Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment):
Yes   No
* Are you at least 18 years or older? (If no, you may be required to provide authorization to work):
Yes   No
* Have you ever been convicted of a felony or a misdemeanor that has not been legally expunged or removed for your record which resulted in imprisonment within the last seven years? (A conviction will not necessarily result in the denial of employment):
Yes   No
If Yes, please explain:
* Have you ever worked for this Company before?:
Yes   No
If Yes, please provide details (Where/When/Job Title):
* Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:
Yes   No
If no, please explain:

* When would you be available to begin work?:
* Type of employment desired:
Part Time
* Hourly rate/salary desired:
* Are you currently employed?:
Yes   No
If so may we inquire of your present employer?:
Yes   No
If presently employed, why are you considering leaving?:

* Have you completed high school or GED equivalent?:
Yes   No
* Have you completed a 4 year college program?:
Yes   No

Give record of all High Schools, Colleges, Universities and Vocational/Technical Schools you have attended.

School Name & Location Did you Graduate? Degree Received Subjects Studied/Major
Yes   No
Yes   No
Yes   No

If you have completed any special courses, seminars and/or training that would help you to perform the position for which you are applying, please describe:

Give your full employment record, starting with your current or most recent employment. Please complete this section in detail to be considered for this position. You will be contacted if a cover letter or resume is requested.


Dates Employed Employer Name & Address Employer Phone


Job Title Supervisor Name & Title May we Contact?

Responsibilities Reason for Leaving Salary/Hourly Rate



Dates Employed Employer Name & Address Employer Phone


Job Title Supervisor Name & Title May we Contact?

Responsibilities Reason for Leaving Salary/Hourly Rate



Dates Employed Employer Name & Address Employer Phone


Job Title Supervisor Name & Title May we Contact?

Responsibilities Reason for Leaving Salary/Hourly Rate


REFERENCES Please provide three references (not relatives).

Name Relationship Phone Number

The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.

I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.

I understand that I am required to abide by all rules and regulations of the company.

* Signature (type name):
* Date:
General Field Requirements
Add this to every field application!!!
* Do you have daily, reliable transportation to get to and from a job site?
* At the time of employment, are you able to submit verification of your legal right to work in the United States?
* Do you have a working telephone that allows you to be contacted on a daily basis?
* Are you willing to work out of town or out of state? (per diem is provided depending on the location)
* Are you willing to work days, evening and/or weekends?
* Do you own a truck and are you willing to haul materials to and from job sites? (Not a requirement but if applicable will qualify for a premium)
* Do you own basic hand tools?
* If offered a job, our company is direct deposit only; must be able to provide account information for check to be deposited. Is this a concern?
* Do you understand that a job offer is contingent upon successful completion of a pre-employment drug test and that we have a drug free workplace policy?
Referral Source
* Please Select How You Were Referred to Blakley's.:
Employment Agency
Temporary Agency
National Advertisement/ Search
Local Advertisement
College Grad/School
Job Fair/ Open House
Vocational/ Rehabilitation Facility
Blakley's Recruiter
Local High School
Job Hotline
Outreach-disabled veteran
State Employment Agency
Employee Referral
Union Other
Union Tile Setter
Union Glazer
Union Bricklayer
If you answered, employee referral, please state name of person that referred you.
If you answered, Union, please state which local you are affiliated with.
If you answered Union, please state which organization referred you to the Union?
Voluntary Self-Identification of Disability CC-305
Voluntary Self-Identification of Disability

Form CC-305
OMB Control Number 1250-0005
Expires 01/31/2020

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities.i To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this form is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will be kept private and will not be used against you in any way.

If you already work for us, your answer will not be used against you in any way. Because a person may become disabled at any time, we are required to ask all of our employees to update their information every five years. You may voluntarily self-identify as having a disability on this form without fear of any punishment because you did not identify as having a disability earlier.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:

  • Blindness
  • Deafness
  • Cancer
  • Diabetes
  • Epilepsy
  • Autism
  • Cerebal palsy
  • Schizophrenia
  • Muscular dystrophy
  • Bipolar disorder
  • Major depression
  • Multiple sclerosis (MS)
  • Missing limbs or partially missing limbs
  • Post-traumatic stress disorder (PTSD)
  • Obsessive compulsive disorder
  • Impairments requiring the use of a wheelchair
  • Intellectual disability (previously called mental retardation)

Please select one of the options below:

* Do you have a disability

* Your Name
* Today's Date

Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

i Section 503 of the Rehabilitation Act of 1973, as amended. For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor's Office of Federal Contract Compliance Programs (OFCCP) website at

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

This employer is a government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1874, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires government contractors to take affirmative action to employ and advance in employment: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These classifications are defined below:

"Disabled veteran" is one of the following:
  • Veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
  • Person who was discharged or released from active duty because of a service-connected disability
"Recently separated veteran" means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.

"Active duty wartime or campaign badge veteran" means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.

"Armed forces service medal veteran" means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

Protected veterans may have additional rights under USERAA - the Uniformed Services Employment and Reemployment Rights Act. In particular, if you were absent from employment in order to perform service in the uniformed service, you may be entitled to be reemployed by your employer in the position you would have obtained with reasonable certainty if not for the absence due to service. For more information, call the U.S. Department of Labor's Veterans Employment and Training Service (VETS), toll free, at 1-866-4-USA-DOL.

If you believe you belong to any of the categories of protected veterans listed above, please indicate by checking the appropriate box below. As a Government contractor subject to VEVRAA, we request this information in order to measure the effectiveness of the outreach and positive recruitment efforts we undertake pursuant to VEVRAA.


Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information provided will be used only in ways that are not inconsistent with the Vietnam Era Veteranís Readjustment Assistance Act of 1974, as amended.

The information you submit will be kept confidential, except that (i) supervisors and managers may be informed regarding restrictions on the work or duties of disabled veterans, and regarding necessary accommodations; (ii) first aid and safety personnel may be informed , when and to the extent appropriate, if you have a condition that might require emergency treatment; and (iii) Government officials engaged in enforcing laws administered by the Office of Federal Contract Compliance Programs, or enforcing the Americans with Disabilities Act, may be informed.

Equal Opportunity Employer Pre-Offer
It is the policy of The Blakley Corporation that there shall be no discrimination in employment ( including recruiting, hiring, promotion, compensation, and any other condition, or privilege of employment) on the basis of status as a disabled veteran, Vietnam era veteran ( as defined in 38USC Sec. 4211 41 CFR 60-250) or as a veteran who has served on active duty during a war or in an active campaign or expedition for which a campaign badge has been authorized, with regard to any position for which such individual may be qualified. This policy is intended to be in compliance with The Blakley Corporation's obligation as a federal contractor under The Vietnam Era Veteran's Readjustment Assistance Act, specifically 38 USC Sec. 4212, and it's implementing regulations, 41 CFR 60-250.

It is this Company's policy to provide equal employment opportunities to all employees in accordance with all applicable laws, directives and regulations of federal, state and local government bodies. It is out policy to recruit, hire, train and promote individuals in all employment positions without regard to race, color, religion, sex, national origin, age, veteran status or disability.

The following information is being requested so that we may comply with the law and our Equal Employment Opportunity Policy. COMPLETION OF THIS SECTION IS VOLUNTARY. No adverse treatment will result from your refusal to provide this information. This information will only be used for statistical analyses and compliance reporting. It will not be placed in your personnel file.

* Gender:
I Choose Not to Respond

* Race / Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
Black or African American (Not Hispanic or Latino)
Hispanic or Latino
Asian (Not Hispanic or Latino)
White (Not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
Two or More Races (Not Hispanic or Latino)
I Choose Not to Respond

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