APPLICATION FOR EMPLOYMENT

Prospective employees will receive consideration without discrimination based on race, creed, color, age, national origin, handicap, veteran status or any condition prescribed by state or local law.

Date*

Date

Last Name *

First Name *

Middle

Street Address*

City, State, Zip Code*

(Area Code)

(Telephone #)*

(Area Code)

(Cell Phone #)

(Area Code)

(Business Telephone)

Have you ever applied for employment with us?*

Position Desired*

Pay Expected*

Apart from absence for religious observances, are you available for full-time work?*

YesNo

If not, what hours can you work?*

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

Will you work overtime is asked?*

YesNo

When will you be available to begin work?

Have you ever been bonded?

Yes - If "Yes" with what employer?No

Yes - If "Yes" with what employer?

Other special training or skills languages, machine operations, etc

Graduate School

Graduate Course of Study

Did you Graduate?

YesNo

Degree or Diploma

Graduate - No of Years Complete

Name of College

College Course of Study

Did you Graduate?

YesNo

College - No of Years Complete

Degree or Diploma

Business/Trade School

Business Course of Study

Did you Graduate?

YesNo

Bus/Trade - No of Years Complete

Degree or Diploma

High School

High School Course of Study

Did you Graduate?

YesNo

High School - No of Years Complete

Degree or Diploma

Elementary

Elementary Course of Study

Did you Graduate?

YesNo

Elementary - No of Years Complete

Degree or Diploma

Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer.

Company Name

(Area Code)

( Telephone )

Address

Employed (State month and year)

From:

To

Name of supervisor

Weekly Pay Start:

Weekly Pay End

State Job Title and Describe Your Work

Reason for Leaving

Company Name

Address

(Area Code)

(Telephone)

Employed (State month and year)

From:

To

Name of Supervisor

Weekly Pay Start:

Weekly Pay Last

State Job Title and Describe Your Work

Reason for Leaving

Company Name

(Area Code)

(Telephone)

Address

Employed (State month and year)

From:

To

Name of Supervisor

Weekly Pay Start

Weekly Pay Last

State Job Title and Describe Your Work

Reason for Leaving

Company Name

(Area Code

(Telephone)

Address

Employed (State month and year)

From:

To

Name of supervisor

Weekly Pay Start:

Weekly Pay Last

State Job Title and Describe Your Work

Reason for Leaving

We may contact the employers listed above; unless you indicate those you do not want us to contact

Employer Name (s)

Reason

Employer Name (s)

Reason

Military

YesNo

Did you serve in the U.S. Armed Forces? If "Yes", in what Branch?

Describe any training received relevant to the position for which you are applying.

Membership in professional and civic organizations, special accomplishments, awards, etc. (Exclude those which may disclose your race, color, religion, age or national origin)

Please read and understand this statement before signing your application:

The information I have provided in the Application for Employment is true, correct and complete. False, incomplete or misrepresented information of any kind, will be sufficient cause for my application to be rejected, or if discovered after I am employed, cause for immediate termination of my employment.

I authorize the employer to contact and obtain information about me from previous employers, educational institutions and "references" I provided, and any other party necessary to verify the accuracy of information I disclosed in this application, a related employment resume or a personal interview. To assist in the processing of my application, I waive all rights and claims I may otherwise have against the employer or its representative, for seeking, and using information to evaluate my employment request and all other persons, corporations or organizations who provide information for this purpose.

This application will expire in 30 days. After that date, unless otherwise notified, I understand that my status as an applicant will end. I may re-apply for employment in the future by completing a new application.

This application is not an employment agreement. If I accept an offer of employment, I understand I may resign at any time, and the employer may terminate my employment at any time, with or without cause and without prior notice, unless required by law. I understand that no one, other than an executive officer of the employer, has the authority to enter into any employment agreement with terms contrary to the foregoing and then only in writing signed by such officer.

I fully understand and accept all terms and conditions in the above statement.

Date*

Date

Please verify that you are human*

Signature

Wright Construction Co., Inc. believes that the information solicited from the applicant is in full compliance with all Federal and State equal employment laws and with the Fair Credit Reporting Act. We do not assume responsibility for the user's inclusion.

APPLICATION FOR EMPLOYMENT

Name and Location of School

Employment

Do Not Contact:

Additional Information

Applicant's Signature