Personal Information:
First Name
Last Name
Middle Initial
Address
City
State
AL
AK
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Home Phone
Business Phone
Cell Phone
Email Address
Position Desired
Pay Expected
Apart from absence for religious observance, are you available for full-time work?
Yes
No
If not, what hours can you work?
Will you work overtime if asked?
Are you legally eligible for employment in the United States?
Yes
No
When will you be available to begin work?
Have you ever been convicted of any crimes in the past ten years, excluding misdemeanors and summary offenses, which have not been annulled, expunged or sealed by a court? (If yes, describe in full)
Any special training or skills?
Education:
Graduate School:
Name and Location
Course of Study
Years Completed
Did you graduate?
Yes
No
College:
Name and Location
Course of Study
Years Completed
Did you graduate?
Yes
No
Technical/Trade:
Name and Location
Course of Study
Years Completed
Did you graduate?
Yes
No
High School:
Name and Location
Course of Study
Years Completed
Did you graduate?
Yes
No
Employment:
(1) Company Name
Address
Telephone Number
Dates Employed
Name of Supervisor
Job Title
Pay Rate
Reason for Leaving
Describe your Duties and Tasks
(2) Company Name
Address
Telephone Number
Dates Employed
Name of Supervisor
Job Title
Pay Rate
Reason for Leaving
Describe your Duties and Tasks
(3) Company Name
Address
Telephone Number
Dates Employed
Name of Supervisor
Job Title
Pay Rate
Reason for Leaving
Describe your Duties and Tasks
(4) Company Name
Address
Telephone Number
Dates Employed
Name of Supervisor
Job Title
Pay Rate
Reason for Leaving
Describe your Duties and Tasks
We may contact employers listed above unless you indicate those you do not want us to contact.
Do Not Contact:
Employer
Reason
Reference Check:
(1) Name
Relationship
Phone Number
(2) Name
Relationship
Phone Number
(3) Name
Relationship
Phone Number
(4) Name
Relationship
Phone Number
Skills:
Please list any skills or abilities you feel are applicable to the construction industry or your desired position.
Additional Information:
Membership in professional and civic organizations, special accomplishments, awards, etc.
Applicant’s Signature
Please read and understand this statement before signing your application:
The information I have provided in this Application for Employment is true, correct, and complete. False, incomplete or misrepresented information of any kind, will be sufficient cause for my application to be rejected or, if discovered after I am employed, cause for immediate termination of my employment.
I authorize the employer to contact and obtain information about me from previous employers, educational institutions and “references” I provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume or a personal interview. To assist in the processing of my Application, I waive all rights and claims I may otherwise have against the employer or its representatives, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.
This application will expire in 30 days. After that date, unless otherwise notified, I understand that my status as an applicant will end. I may re-apply for employment in the future by completing a new application.
This application is not an employment agreement. If I accept an offer of employment I understand the employer may terminate my employment at any time, with or without cause and without prior notice, unless required by law. I understand that no one, other than an executive officer of the employer, has authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such officer.
By pressing the submit button I fully understand and accept these terms:
Name
Date
