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Employment Application
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Bidding Projects
Bid Results
Resources
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Contact Us
Employment Application
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Employment Application
Last Name
First Name
Middle Initial
Street Address (Present)
City
State
Zip
Phone Number
Other Number
E-Mail
Desired Employment
Position Applying For
Date You Can Start
Salary Desired
Are you employed now?
Yes
No
May we contact your present employer?
Yes
No
Ever applied to this company before?
Yes
No
Are you 18 years or older?
Yes
No
Are you legal to work in the U.S.?
Yes
No
Do you have a valid driver’s license?
Yes
No
Do you have your own tools?
Yes
No
Do you have your own truck?
Yes
No
How did you hear about this position?
Previous Employment History
– List below last three employers with the most recent one first
1) Name of Present or Last Employer:
Street Address
City
State
Zip
Starting Date Month/Year
End Date Month/Year
Job Title
Starting Pay/Hr.
Ending Pay/Hr.
Name of Supervisor
May we contact your Supervisor?
Yes
No
Title
Phone
Description of job duties:
Reason for Leaving:
2) Name of Present or Last Employer:
Street Address
City
State
Zip
Starting Date Month/Year
End Date Month/Year
Job Title
Starting Pay/Hr.
Ending Pay/Hr.
Name of Supervisor
May we contact your Supervisor?
Yes
No
Title
Phone
Description of job duties:
Reason for Leaving:
3) Name of Present or Last Employer:
Street Address
City
State
Zip
Starting Date Month/Year
End Date Month/Year
Job Title
Starting Pay/Hr.
Ending Pay/Hr.
Name of Supervisor
May we contact your Supervisor?
Yes
No
Title
Phone
Description of job duties:
Reason for Leaving:
Education History
1) School Level
GED
High School
Some College
Completed College
Degrees
Advanced Degree
Name/Location
Number yrs. attended
Did you graduate?
Yes
No
Subjects Studied
2) School Level
GED
High School
Some College
Completed College
Degrees
Advanced Degree
Name/Location
Number yrs. attended
Did you graduate?
Yes
No
Subjects Studied
3) School Level
GED
High School
Some College
Completed College
Degrees
Advanced Degree
Name/Location
Number yrs. attended
Did you graduate?
Yes
No
Subjects Studied
4) School Level
GED
High School
Some College
Completed College
Degrees
Advanced Degree
Name/Location
Number yrs. attended
Did you graduate?
Yes
No
Subjects Studied
Subjects of Special Study:
Special Training
Special Skills
References:
Below, give the names of three persons you are not related to, whom you have known at least one year.
1) Name
Phone Number
Business
Years Known
2) Name
Phone Number
Business
Years Known
3) Name
Phone Number
Business
Years Known
4) Name
Phone Number
Business
Years Known
Have you been convicted of a felony?
Yes
No
If yes, explain (Will not necessarily exclude you from consideration)
Authorization
“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal. I authorize investigation of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is writing and signed by an authorized company representative.”
By Clicking submit I certify the above to be true to the best of my ability.
Agree and Submit