Universal Civil Construction Employment Application

APPLICATION FOR EMPLOYMENT
THIS APPLICATION FOR EMPLOYMENT DOES NOT GUARANTEE EMPLOYMENT WITH UNIVERSAL CIVIL CONSTRUCTION AND DOES NOT GUARANTEE EMPLOYMENT FOR A SPECIFIC PERIOD OF TIME. IF AN APPLICANT BECOMES EMPLOYED WITH UNIVERSAL CIVIL CONSTRUCTION, THAT EMPLOYMENT IS “AT-WILL” UNLESS THE COMPANY PRESIDENT SIGNS A CONTRACT OF EMPLOYMENT FOR A SET DURATION OF EMPLOYMENT. “AT-WILL” MEANS EITHER THE EMPLOYEE OR UNIVERSAL CIVIL CONSTRUCTION CAN TERMINATE THE EMPLOYMENT RELATIONSHIP WITH OR WITHOUT NOTICE OR REASON.
Universal Civil Construction, LLC (UCC) is a Federal contractor and an Equal Opportunity Employer. UCC is subject to Executive Order 11246, which requires government contractors to take affirmative action to ensure that equal opportunity is provided in all aspects of their employment. In addition, we are subject to Vietnam Era Veterans’ Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA), which requires Government contractors to take affirmative action to employ and advance in employment protected veterans. In order to comply with these laws, UCC invites applicants to voluntarily self-identify their gender, race/ethnicity and protected veteran status. UCC does not discriminate on the basis of race, religion, color, sex, sexual orientation, gender identity, age, protected veteran status, non-disqualifying physical or mental disability, national origin, genetic information, or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.

Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, data will not identify any specific individual.
Instructions

Provide complete information on this application. Incomplete or illegible information may result in an application not being considered. Use additional space where necessary to provide complete answers-a lack of space on the form itself will not justify incomplete answers. Applicants with disabilities may be entitled to a reasonable accommodation to assist them with completing this application and with the remainder of the pre-employment process, such as the interview and on-boarding process. Reasonable accommodations that do not create an undue hardship for Universal Civil Construction will be offered to qualified individuals with a disability to provide an equal opportunity to apply and be considered for employment.
Date

MonthDayYear
Date
Name

First NameMiddle InitialLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Position Applying For
General Information
Are you related to anyone at Universal Civil Construction? Please enter name of employee
Are you currently authorized to work in the United States? Yes/No
Are you available to work

Part TimeFull Time
Are you 18 years of age or older? Yes/No
If job requires, can you travel? Yes/No
If job requires, do you have a valid driver's license? Yes/No
Have you applied for a position with Universal Civil Construction before? Yes/No
What position?
Are you currently subject to any restriction on the work you can perform such as a non-compete, non-solicitation, or trade secret agreement? Yes/ No If yes, list the types of restrictions and the name(s) of the company(ies) with which you have those agreements. You may be required to provide copies of the agreements to Universal Civil Construction in order for your application to be considered.
Employment Desired
Position Desired
Date you can start

MonthDayYear
Date
Hourly Rate or Salary Desired ($/HR or $/Year)
How did you learn about this position?
In the last 10 years, have you pleaded "guilty" or "no contest" (nolo contendere) to or been convicted of a felony? Yes/ No
If "yes," please state the nature of the crime(s), when and where convicted, the disposition of the case (is it being appealed), and any other relevant information you wish us to consider.*
* A CONVICTION OF AN OFFENSE WILL NOT AUTOMATICALLY DISQUALIFY AN APPLICANT FOR EMPLOYMENT. TO THE EXTENT POSSIBLE, THE COMPANY WILL UNDERTAKE AN INDIVIDUALIZED ASSESSMENT OF THE NATURE, DATE,CIRCUMSTANCES, AND RELEVANCE OF THE OFFENSE TO THE POSITION APPLIED FOR.
Education

LIST ALL EDUCATION RECEIVED STARTING WITH HIGH SCHOOL EVEN IF NO DEGREE WAS COMPLETED AND INCLUDE ALL TRAINING AND CERTIFICATES EVEN IF NOT EARNED THROUGH A TRADITIONAL SCHOOL

	Name and Location	Program Studied/ Areas of Concentration	Number of Years Completed	Degree or Diploma
High School
College/ University
Graduate School
Vocational/ Technical
Other

Summarize skills and qualifications that will be of special benefit in the job for which you are applying.
Employment
You must give accurate, complete, full-time and part-time employment information for your last four employers, including U.S. Military service or training plus any volunteer positions. Start with your present or most recent employer. Resumes may not be provided in lieu of completing this section.
We may contact the employers listed above unless you indicate otherwise. However, we may choose not to hire if we cannot contact a sufficient number of employers and/or other references to determine employment eligibility. Please specify any employers you do not want to be contacted and the reason for that
Please indicate any other name that you have used that would be needed to confirm your employment history.
During the last 10 years have you been terminated, suspended, asked to resign, or offered to resign in lieu of termination from any employment or engagement to work for compensation, such as an independent contractor relationship? YES/NO. If yes, please provide the name of the employer or terminating entity, date, circumstances, and any additional explanation or information
References
Invitation to Self-Identify
Check one of the following:

MaleFemaleI choose not to self-identify
Check one of the following race/ethnic groups defined below:

Hispanic or LatinoWhite (Not Hispanic or Latino)Black or African American (Not Hispanic or Latino)Native Hawaiian or Other Pacific Islander (Not HIspanic or Latino)Asian (Not Hispanic or Latino)American Indian or Alaska Native (Not Hispanic or Latino)Two or More Races (Not Hispanic or Latino)I choose not to self-identify
Check one of the following:

I identify as one or more of the classifications of protected veterans as defined below. (Check status on next page)I am not a protected veteran.I choose not to self-identify
Reasonable Accommodation Notice

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment.

Ethnicity and Race Definitions
• Hispanic or Latino - A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race.

• White (Not Hispanic or Latino) - A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

• Black or African American (Not Hispanic or Latino) - A person having origins in any of the black racial groups of Africa.

• Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino) - A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

• Asian (Not Hispanic or Latino) - A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

• American Indian or Alaska Native (Not Hispanic or Latino) - A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment.

• Two or More Races (Not Hispanic or Latino) – A person who identifies with more than one of the above five races.
Protected Veteran Definitions

Disabled Veteran - one of the following: *a veteran of the U.S. military, ground, naval or air service who is entitles to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or *a person who was discharged or released from active duty because of a service-connected disability.Recently Separated Veteran - any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.Active Duty Wartime or Campaign Badge Veteran - a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.Armed forces service medal veteran - a veteran who, while serving on active duty in the U.S. military, ground, naval, or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.
Voluntary Self-Identification of Disability
Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.

Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:
Please check one of the boxes below:

Yes, I have a disability, or have had one in the pastNo, I do not have a disability and have not had one in the pastI do not want to answer
PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.
Application Retention Policy

This application is only for a specific position and is only active until that position is filled. Please contact the Human Resources office to obtain an application for another position opening.
Certification and Acknowledgement of Applicant
I certify that the information given by me herein is true, accurate, and complete.

I understand that, as part of Universal Civil Construction's employment procedure, a routine inquiry may be made that will provide applicable information concerning my employment history, performance, and character.

I hereby authorize Universal Civil Construction and/or its agents to thoroughly investigate my references, work record, education, and other matters related to my suitability for employment for the purpose of confirming the information contained on my application and/or obtaining other information that may be material to my qualifications for employment.

I authorize all persons, companies, and corporations to supply Universal Civil Construction with information regarding my past work performance, work record, education and all other matters related to my suitability for employment with Universal Civil Construction. I release Universal Civil Construction and any of its representatives from any liability as a result of any inquiries made by Universal Civil Construction while conducting its investigation of my qualifications and suitability for employment. I understand any false answers or statements or implications made by me in the application, in any interview, or in other documents shall be considered sufficient cause for denial of employment or termination of employment if I should be employed by Universal Civil Construction. I further understand that my employment with Universal Civil Construction is subject to the satisfactory completion of this investigation.

Additionally, I understand that nothing contained in this employment application or in the granting of an interview or in the conduct of such investigation is intended to create an employment contract between Universal Civil Construction and myself either for employment or for any benefit of employment. No promises or representations regarding employment have been made to me, and I understand no such promise, representation, or guarantee, whenever made, whether written or oral, is binding upon Universal Civil Construction unless made in writing and signed by Universal Civil Construction's President. If an employment relationship is established, I understand that employment with Universal Civil Construction is "at will" and if hired, I acknowledge that I have the right to terminate employment, with or without advance notice, for any reason at all, at any time and that Universal Civil Construction retains the same right.

I understand that any offer of employment is contingent on submission to, providing an unaltered sample for, and passing a test for illegal drugs and abuse of legal drugs. And, I authorize those tests.

I understand that, after any offer of employment I may be subject to a pre-employment medical examination, including a pre-employment physical, and that the offer of employment is contingent on my ability to perform the essential functions of the position with or without reasonable accommodation.

If employed, I understand that I must sign, as a condition of employment, Universal Civil Construction's Employee Handbook, which outlines the Universal Civil Construction policies and procedures for its employees. In addition, if employed, I agree to sign, as a condition of employment, Universal Civil Construction's Employee Technology and Non-Disclosure Agreement, in which I agree to protect and not divulge any confidential information I have gained through employment with Universal Civil Construction (This agreement also sets forth the conditions under which Universal Civil Construction is assigned the entire right, title, and interest of certain inventions or ideas, including computer programs, developed while in Universal Civil Construction's employ).

If offered employment with Universal Civil Construction, I understand that my employment is contingent upon the presentation of documents establishing my identity and eligibility to work in the United States.

I also understand that, if employed, I will be required to abide by all rules and regulations of Universal Civil Construction and to complete satisfactorily a "new employee" period of employment during which I may not be eligible for certain benefits.
Signature of Applicant

Clear
Date

MonthDayYear
Date
Interviewed By
Date

MonthDayYear
Date
Should be Empty:

APPLICATION FOR EMPLOYMENT

Instructions

General Information

Employment Desired

Education

Employment

References

Invitation to Self-Identify

Voluntary Self-Identification of Disability

Application Retention Policy

Certification and Acknowledgement of Applicant