West Brothers Job Application

Date*

Date

Full Name*

First NameMiddle NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email Address*

example@example.com

Mobile Number*

Area CodePhone Number

Position*

Select as many as desired

Schedule*

Full-TimePart-TimeTemporary

Valid Driver’s License*

YesNoNo, But I Have Transportation

Employees are required to be at least 18 years old to be employed at West Brothers Construction. Can you meet that requirement?*

YesNo

Are you legally eligible for employment in the United States?*

YesNo

Have you ever been employed by West Brothers?*

YesNo

If so, please state job, location, and dates of employment.

Available Start Date*

Date

Wage Desired

Have you ever pleaded "guilty" or "no contest" to or been convicted of a crime? NOTE: Answering "yes" to this question does not constitute an automatic bar to employment. A background check may be completed and any offer of employment will be contingent upon factors such as date of offense, seriousness and nature of violation, rehabilitation and position applied for will be taken into account.*

YesNo

Do you have any equipment operator skills?*

YesNo

If so, what type of equipment experience and how long:

List skills, equipment, tools, and materials you have experience with:

May we contact your present employer?*

YesNo

If any employment was under a different name, indicate name.

Employer

Phone Number

Area CodePhone Number

Job Position

Dates of Employment

Hourly Rate

Supervisor Name

First NameLast Name

Job Duties

Reason for Leaving

Employer

Phone Number

Area CodePhone Number

Job Position

Dates of Employment

Hourly Rate

Supervisor Name

First NameLast Name

Job Duties

Reason for Leaving

Explain any gaps in work history:

Have you ever been discharged or asked to resign from a job?*

YesNo

If yes, please explain.

High School

# of Years Completed

Diploma

YesNo

G.E.D.

YesNo

College and/or Vocational School

# of Years Completed

Major

Degree Earned

Other Training or Degree Program

Course

Degree Earned

Do you hold a professional license or certification?

YesNo

Type of License Held

License #

Expiration Date

Name

First NameLast Name

Phone Number

Area CodePhone Number

Relationship to You

Name

First NameLast Name

Phone Number

Area CodePhone Number

Relationship to You

Name

First NameLast Name

Phone Number

Area CodePhone Number

Relationship to You

How did you hear about us

Upload Your Resume (Optional)

Browse Files

Cover Letter

APPLICANT’S CERTIFICATION AND AGREEMENT

I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize West Brothers Construction, Inc. to verify their accuracy and to obtain reference information on my work performance. I hereby release West Brothers Construction from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information.

I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal.

I authorize investigation of statements contained in this application. I understand that the misrepresentation or omission of facts called for is cause for immediate dismissal without notice. I hereby give West Brothers Construction permission to conduct any routine background checks, contact schools, previous employers, and references and hereby release West Brothers Construction from any liability as a result of such investigation and contacts.

I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of West Brothers Construction which include drug testing policies. However, I further understand that neither the policies, rules, regulations of employment, nor anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.

Signature*

West Brothers Job Application

Skills

Employment

Education

References

Optional Questions