APPLICATION—LABOR (Truck Driver, Roller Operator, Pipe Layer)

EMPLOYMENT APPLICATION

LABOR
Wynn Site Development is an Equal Opportunity Employer. Reasonable accommodation will be provided as required by law.

Resumes NOT required.
If you want to include a resume, do so at the bottom of this form right before sending.
Name*

First NameLast Name
Email Address
example@example.com
Phone
Enter a valid phone number.Format: (000) 000-0000.
Do you have Site work Construction Experience?

YesNo
If so, have you worked in Grading, Utilities or both?

YesNoBoth
Do you operate any equipment?

YesNo
Can you check Grade?

YesNo
Are you a Pipe Layer or Pipe Layer Assistant?

YesNo
Last 4 of SS Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If hired, can you provide evidence of legal eligibility to work in the U.S.?
Position Desired
Wage/Salary Desired
Full Time? Part Time?
Full Time? Part Time?

Full TimePart Time
Date you can begin work?

MonthDayYear
Date
Are you 18 years of age or older? If under 18, you will need to submit a birth or work certificate as required by state or federal law.
Name of high school attended:
City & State
Graduate?
GED?
Name of college or technical school:
City & State
Graduate?
Degree?
Major?
Are you presently enrolled in school?
If yes, Name of School and Projected Graduation Date

MonthDayYear
Date
List job related skills or accomplishments, including military service
List one per line
AVAILABILITY FOR WORK
From Monday

Hr Min

AM/PM Option
To Monday

Hr Min

AM/PM Option
From Tuesday

Hr Min

AM/PM Option
To Tuesday

Hr Min

AM/PM Option
From Wednesday

Hr Min

AM/PM Option
To Wednesday

Hr Min

AM/PM Option
From Thursday

Hr Min

AM/PM Option
To Thursday

Hr Min

AM/PM Option
From Friday

Hr Min

AM/PM Option
To Friday

Hr Min

AM/PM Option
From Saturday

Hr Min

AM/PM Option
To Saturday

Hr Min

AM/PM Option
From Sunday

Hr Min

AM/PM Option
To Sunday

Hr Min

AM/PM Option
Total hours per week available
Special requests or needs for a work schedule?
Additional Questions / Comments
PROVIDE THREE REFERENCES WHO ARE NOT FORMER EMPLOYERS
- Who We May Contact ?
- How do you know them?
- For how long?
- Phone Number
  Enter a valid phone number.Format: (000) 000-0000.
- Who We May Contact ?
- How do you know them?
- For how long?
- Phone Number
  Enter a valid phone number.Format: (000) 000-0000.
- Who We May Contact ?
- How do you know them?
- For how long?
- Phone Number
  Enter a valid phone number.Format: (000) 000-0000.
- YOUR EMPLOYMENT HISTORY
  
  List names of employers—Present or last employer listed first.
- May we contact current employers before you are offered a position?
- Name of Employer
- Job Title
- Duties
  List one per line
- Address
  
  Street Address
- Dates of Employment: FROM
  
  MonthDayYear
  Date
- Dates of Employment: TO
  
  MonthDayYear
  Date
- City, State, Zip Code
- Hourly pay or salary:
- Starting pay:
- Ending pay:
- Supervisor
- Telephone#
  Enter a valid phone number.Format: (000) 000-0000.
- Reason for Leaving
- Name of Employer
- Job Title
- Duties
  List one per line
- Address
  
  Street Address
- Dates of Employment: FROM
  
  MonthDayYear
  Date
- Dates of Employment: TO
  
  MonthDayYear
  Date
- City, State, Zip Code
- Hourly pay or salary:
- Starting pay:
- Ending pay:
- Supervisor
- Telephone
  Enter a valid phone number.Format: (000) 000-0000.
- Reason for Leaving
- Name of Employer
- Job Title
- Duties
  List one per line
- Address
  
  Street Address
- Dates of Employment: FROM
  
  MonthDayYear
  Date
- Dates of Employment: TO
  
  MonthDayYear
  Date
- City, State, Zip Code
- Hourly pay or salary:
- Starting pay:
- Ending pay:
- Telephone
  Enter a valid phone number.Format: (000) 000-0000.
- Supervisor
- Reason for Leaving
- UPLOAD RESUME (Not required)
  
  Pdf Doc, and Docx files only.
  Cancelof
- CAREFULLY READ EACH STATEMENT BEFORE SIGNING
  
  I certify that all of the information provided in this employment application is true and complete to the best of my knowledge, and I authorize investigation of all statements contained in this application, including a criminal background, credit history check, and drug test, as applicable. I understand that any false or incomplete information may disqualify me from further consideration for employment and may result in my immediate discharge if discovered at a later date.
  
  I authorize the investigation of any or all statements contained in this application and also authorize any person, school, current employer, past employers, and other organizations to provide information concerning my previous employment and other relevant information that may be useful in making a hiring decision. I release such persons and organizations from any legal liability in making such statements.
  
  I have read, understand, and agree to the above statements.
- Signature
- Today's Date/Fecha de Hoy
  
  MonthDayYear
  Today's Date/Fecha de Hoy
- Should be Empty: