Become a Local Partner – Good Guys Home Services

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email *

How many years experience do you have in the field? *

Which Good Guys Partner Referred You

If applicable, who influenced your decision to consider joining Good Guys?

Name

First

Last

Reference #1

Name

First

Last

Company

Phone

Email

Reference #2

Reference #2 (copy)

Name

First

Last

Company

Phone

Email

Reference #3

Name

First

Last

Company

Phone

Email

Are you a citizen of the Unitied States

Yes
No

Do you have a valid Driver's License?

Yes
No

What State is your Drivers License Issued?

Enter Driver's License Number

Have you ever been convicted of a felony?

Yes
No

Education

High School

High School Address (City & State is fine)

Did you graduate?

Yes
No

Year Graduated

Diploma

College

College Address (City & State is fine)

Did you graduate?

Yes
No

Year Graduated

Degree

Other Education

Address (City & State is fine)

Did you graduate?

Yes
No

Year Graduated

Degree

Previous Employment

Company

Supervisor

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Responsibilities

Reason for leaving

May we contact your previous supervisor for a reference?

Yes
No

Any certifications or Local Trade License? (Please List)

Any additional info you would like us to know?

Disclaimer and Electronic Signature

I certify that my answers are true and complete to the best of my knowledge. I authorize Good Guys Home Services to perform a background check and driving record. If this application leads to acceptance to join Good Guys Home Services, I understand that false or misleading information in my application or interview may result in my release.

I agree *

Yes

Name *

First

Last