Employment Application Last Name: First Name: Middle Name: Address: Apt #: City: State: Zip: Phone Number: Email: Alternate Phone Number: Position(s) Applying For: I will be able to report to work days after being notified I am hired. I am legally eligible for employment in the US? Y    N I am seeking a permanent position: Y    N If necessary for the job, I am able to: Work overtime? Y    N Provide a valid Driver's License? Y    N    If so, Fill out the following: Issuing State: License Type: Employment History List most recent employment first. Include summer or temporary jobs. Be sure all your experience or employers related to this job are listed here. No more than 10 years history recommended. Start Date *MM/DD/YYYY End Date *MM/DD/YYYY Company: Address: City: State: Zip: Supervisor: Phone: Job Title: Job responsibilities / duties Reason for Leaving: Hourly Rate / Salary: Pay $    Per Start Date *MM/DD/YYYY End Date *MM/DD/YYYY Company: Address: City: State: Zip: Supervisor: Phone: Job Title: Job responsibilities / duties Reason for Leaving: Hourly Rate / Salary: Pay $    Per Start Date *MM/DD/YYYY End Date *MM/DD/YYYY Company: Address: City: State: Zip: Supervisor: Phone: Job Title: Job responsibilities / duties Reason for Leaving: Hourly Rate / Salary: Pay $    Per Start Date *MM/DD/YYYY End Date *MM/DD/YYYY Company: Address: City: State: Zip: Supervisor: Phone: Job Title: Job responsibilities / duties Reason for Leaving: Hourly Rate / Salary: Pay $    Per Are you currently employed? Y    N May we contact your current employer? Y    N Did you complete this application by yourself? Y    N    If not, who did?: Education   Institution Name Years Completed Field of Study Graduate or Degree High School College University Business / Technical Additional Military Service Are you a Veteran? Y    N    If yes, please list duty / specialized training: Skills & Qualifications Other qualifications such as special skills, abilities or honors that should be considered: Professional licenses, certifications or registrations: Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employer's attention: References Please list two references who are not relatives or former supervisors. Full Name Address Phone Occupation Years known Contact In case of accident or illness, please contact: Name: Daytime Phone: Address: Relationship: Information to the Applicant As part of our procedure for processing your employment application, your personal and employment references may be checked. If you have misrepresented or omitted any facts on this application, and are subsequently hired, you may be discharged from your job. You may make a written request for information derived from the checking of your references. If necessary for employment, you may be required to: supply your birth certificate or other proof of authorization to work in the United States, have a physical examination and/or a drug test, or to sign a conflict of interest agreement and abide by its terms. I understand and agree to the information shown above. I agree to the above acknowledgment *Equal Employment Opportunity: While many employers are required by federal law to have an Affirmative Action Program, all employers are required to provide equal employment opportunity and may ask your national origin, race and sex for planning and reporting purposes only. This information is optional and failure to provide it will have no affect on your applicatioo for employment.

Welcome to the Butler Rents careers page. Please check back often, as we will continue to update this page with our current job openings. We encourage you to apply for any job openings using the form below. Please fill-out all application fields.