Employment Application
Please fill out the form below to apply for employment at Uncle Sam’s Contractors. We are proud to be an Equal Opportunity Employer!
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Desired Position
*
Date You Can Start Work
*
-
Month
-
Day
Year
Date
Desired Salary
*
Desired Salary (per hour)
Do you have a high school diploma or GED?
*
Yes
No
Desired Hours
*
Full Time
Part Time
Desired Shift (please check all that you are willing to work)
*
Days
Evenings
Swing
Graveyard
Weekends
Desired Employment Status
*
Regular
Temporary
Are you authorized to work in the U.S. on an unrestricted basis?
*
Yes
No
Have you ever been convicted of a felony? (Convictions will not necessarily result in disqualification from employment) If yes, please explain below.
*
Yes
No
Please explain:
If you answered "Yes" above, please explain the circumstances of your conviction.
Have you been told the essential functions of the job, or have you seen a job description listing the essential functions of the job?
*
Yes
No
Are you able to perform all of the essential functions of this job, with or without reasonable accommodation?
*
Yes
No
Qualifications
Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools, colleges, degrees, vocational or technical programs, and military training.
School/Program Details
Rows
School/Program Name
Degree/Certificate
Address/City/State
School/Program 1
School/Program 2
School/Program 3
Special Skills
List any special skills or experience that would help you in the position that you're applying for.
References
Please list three professional references, not related to you, with full name, address, phone number, and relationship. If you don't have three professional references, please list personal, unrelated references.
Reference List
Rows
Name
Address/City/State
Phone #
Relationship
Reference 1
Reference 2
Reference 3
Work History
Start with your present or most recent employer and work back.
Job #1
Job Title
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
If currently employed, please skip.
Company Name
Supervisor's Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Duties
Reason for Leaving
Starting Salary
Please indicate hourly or annual salary
Ending Salary
Please indicate hourly or annual salary
May we contact your present employer?
Yes
No
N/A
Job #2
Job Title
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
If currently employed, please skip.
Company Name
Supervisor's Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Duties
Reason for Leaving
Starting Salary
Please indicate hourly or annual salary
Ending Salary
Please indicate hourly or annual salary
Job #3
Job Title
Start Date
-
Month
-
Day
Year
Date
End Date
-
Month
-
Day
Year
If currently employed, please skip.
Company Name
Supervisor's Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Duties
Reason for Leaving
Starting Salary
Please indicate hourly or annual salary
Ending Salary
Please indicate hourly or annual salary
Signature
I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.
Applicant Signature
*
Date of Signature
*
-
Month
-
Day
Year
Date
Submit
Should be Empty: