Employment Application

Personal Information

Name *

Phone Number *

Position Desired *

Pay Expected *

Email Address *

Availability Date *

Address

Country

City

State

Zip code

Are you at least 18 years of age? *

Yes

Are you legally eligible for employment in the US? *

Yes

Are you available for full-time work? *

Yes

Do you have a current driver's license? *

Yes

If yes, what class?

If yes, what state?

List any traffic violations received within the last 5 years. *

Do you have any physical health problems that would prevent you from preforming duties common to the construction industry? (lifting, shoveling, etc?) *

Summarize special job-related skills (mechanics, machine operation, etc.) and qualifications. *

Are you free to travel outside the state? *

Yes

Are you currently on "lay-off" status and subject to recall? *

Yes

Are you currently employed? *

Yes

Have you ever filed an application with us before? *

Yes

May we contact your present employer? *

Yes

If yes, give date.

How did you learn about this position? (Please be specific)

Previous Employment History

Company Name

Phone

Address

Country

City

State

Zip code

Date of employment start, and end?

Weekly pay?

Job title and description?

Reason for leaving?

Employer #2

Company Name

Phone

Address

Country

City

State

Zip code

Date of employment start, and end?

Weekly pay?

Job title and description?

Reason for leaving?

References #1

Name

Phone

Address

Country

City

State

Zip code

Reference #2

Name

Phone

Address

Country

City

State

Zip code

Reference #3

Name

Phone

Address

Country

City

State

Zip code

Education

Post Secondary

College, Technical, or AVTI

Name of School

Location

Course of Study

Number of years completed

Degree

Did you graduate?

Yes

Education

High School

Name of School

Location

Did you graduate?

Yes

Military

Branch of Service

Rank at Discharge

Month and year of active duty Start

Month and year of active duty end

Describe your duties and any special training

I certify that answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. The applicant understands that neither this document nor any offer of employment from the employer constitute an employment contract unless a specific document to that affect is executed by the employer and employee in writing. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. *

have read and agree to the statement written above.

Name

Date

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