Apply — Birmingham & Associates

Personal Information

Let us know who you are and how to reach you.

First Name *

First name is required.

Last Name *

Last name is required.

Phone Number *

A valid phone number is required.

Email Address

Enter a valid email address.

Address

Street Address

City

State

Zip Code

Position

Position Applying For *

Please select a position.

How did you hear about us? *

Please select how you heard about us.

Step 1 of 4

Availability & Logistics

Help us understand when and how you can work.

Do you have a valid driver's license? *

Please select an answer.

Do you have reliable transportation? *

Please select an answer.

Schedule

Can you work overtime? *

Please select an answer.

Are you able to work weekends? *

Please select an answer.

Are you willing to travel? *

Please select an answer.

What % of the time would you travel?

Are there days/hours you cannot work? *

Please select an answer.

What days/times are you unavailable?

Background

Have you ever been convicted of a felony? *

Please select an answer.

A conviction does not automatically disqualify you from employment.

Experience & Qualifications

Tell us about your skills and work history.

Skills & Certifications

List any trade certifications, licenses, or specialized skills.

Resume (Optional — PDF, Word, or image)

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Click to upload or drag & drop

PDF, Word (.docx), or image — max 5MB

Your resume helps us match you to the right position faster.

Work History *

Please provide at least some work history.

Why are you a good fit for this role? *

Please tell us why you're a good fit.

Review & Submit

Check your information before submitting. Use the Back button to make any changes.

Personal Information

Name

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Phone

—

Address

—

Position

—

How you heard about us

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Availability & Logistics

Driver's License

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Reliable Transportation

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Overtime Available

—

Weekends Available

—

Willing to Travel

—

Schedule Restrictions

—

Felony Conviction

—

Experience & Qualifications

Skills & Certifications

—

Work History

—

Why a Good Fit

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By submitting this application, you certify that all information provided is true and accurate to the best of your knowledge. Birmingham & Associates, Inc. is an Equal Opportunity Employer.

✓

Application Received!

Thank you for applying to Birmingham & Associates. We review all applications and will be in touch if there's a match.

Questions? Call us at (205) 555-0100 or email info@birminghamassociates.com.

BUILD SOMETHING REAL.

Personal Information

Availability & Logistics

Experience & Qualifications

Review & Submit

Personal Information

Availability & Logistics

Experience & Qualifications

Application Received!