ALAMO WATERPROOFING SERVICES, INC. Application Form

ALAMO WATERPROOFING SERVICES, INC.

Alamo Waterproofing, Inc. is an Equal Opportunity Employer, Prospective employees will receive consideration without discrimination because of race, creed, color, sex, age, national origin, handicap or veteran status.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.
Date of Birth

MonthDayYear
Select your date of birth
Have you ever applied for employment with us?

YesNo
When did you apply?
If yes, please enter date of application.
Social Security #
Please enter your SSN.
Marital Status:

SingleMarriedDivorcedWidowed
Number of Dependants
Please enter the number of dependents you have.
Are you 18 years or older?

YesNo
Did you serve in the U.S. Armed Forces?

YesNo
If yes, what branch?
Please enter your branch of military.
Vietnam Veteran?

YesNo
Disabled Veteran?

YesNo
Emergency Contact Information
Emergency Contact Name

First NameLast Name
Emergency Contact Phone
Please enter a valid phone number.
Relationship
Please enter your relationship to this person.

Job Preferences
Position Desired
Please enter your desired position.
Pay Expected
Please enter your expected pay.
Are you available for full-time work?

YesNo
Will you work weekends/overtime/out of town if asked?

YesNo
Are you legally eligible for employment in the U.S.?

YesNo
Date Available?

MonthDayYear
Please select your available date to start.
Do you have a valid Drivers License?

YesNo
Drivers License #
State Issued

Education

Please enter your education experience

	Name/Location of School	Course of Study	# Years Completed	Graduated?	Degree/Diploma
High School
College/Trade

Employment Information
Please include your past work experience
We may contact the employers listed above unless you indicate those you do not want us to contact.
DO NOT CONTACT:
Please enter any employer(s) you do not want us to contact.
Reason?
Please enter reasoning why you do not want us to contact this employer(s).
Do you have any physical or mental condition that may limit your ability to operate motorized equipment, power tools, climb several flights of stairs or ladders uninterrupted, hear safety horns & signals, work at heights (including fear of heights), lift 70 pounds, work 40 to 60 hours per week, or do other activities required in construction work?

YesNo
If yes, state any accommodations that would enable you to perform the job applied for properly, safely & healthfully.
Do you use any type of prescription or non-prescription drugs?

YesNo
If so, please list medications:
Please list any drugs you have taken in the last 7 days. (Aspirin, cough medicine, etc.)
Have you had any significant moving violations in the last 3 years?

YesNo
If yes, please explain
Have you ever been convicted of a felony or subjected to a deferred adjudication on a felony charge?

YesNo
If yes, explain in concise detail below, giving the dates and nature of the offense, name & location of the court, and the disposition of the case(s). A conviction may not disqualify you, but a false statement will.
I certify that the information in this application is true, correct and complete. If employed, any misstatement or omission of fact on this application may result in dismissal. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If you decide to engage an investigative consumer reporting agency to report on my credit & personal history I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature & substance of the information contained in the report.
Signature

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Date

MonthDayYear
Date
DISCLOSURE AND AUTHORIZATION FOR RELEASE OR INFORMATION
As part of our hiring background and investigation, we may obtain consumer reports to prepare a consumer investigative report. The consumer investigative report may consist of contacting all listed prior employers to verify your employment history. It may also include credit information reports, criminal history reports and driving history records. Under the provisions of the Fair Credit Reporting Act (15 USC at 1681-1681u) as amended, before we can seek such reports, we must have your written permission to obtain the information.
AUTHORIZATION AND RELEASE TO OBTAIN INFORMATION
Under the provision of the Fair Credit Reporting Act, 15 USC, Section 1681 et. Seq., the Americans With Disabilities act and all applicable federal, state, and local laws, I hereby authorize and permit Alamo Waterproofing Services, Inc. to obtain an investigative consumer report which may include the following:
1. My employment records;
2. Records concerning any driving, criminal history, credit history, civil record, workers compensation (post-offer only) and drug testing;
3. (For truck drivers only) In accordance with the Department of Transportation Motor Carrier Safety Regulations, Section 382.413, information concerning alcohol and controlled substances for the past 2 years.
4. Verification of my academic and/or professional credentials: and information and/or copies of documents from any military service records;
I understand that the above items, which constitute an investigative consumer report, may include information as to my character, general reputation, personal characteristics, and mode of living which may be obtained by interviews with individuals with whom I am acquainted or who may have knowledge concerning any such items of information.

I agree that a copy of the authorization has the same effect as an original.

I hereby release and hold harmless any person, firm, or entity that discloses matters in accordance with this authorization, as well as Alamo Waterproofing Services, Inc., from liability that might otherwise result from the request for use of and/or disclosure of any or all of the foregoing information.

I understand and acknowledge that under provision of the Fair Credit Reporting Act I may request a copy of any consumer report from the consumer reporting agency that compiled the report, after I have provided proper identification.

I hereby authorize Alamo Waterproofing Services, Inc., to obtain and prepare an investigative report as set forth above, as part of its investigation of my employment application.
Full Name

First NameLast Name
Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

ALAMO WATERPROOFING SERVICES, INC.

Emergency Contact Information

DISCLOSURE AND AUTHORIZATION FOR RELEASE OR INFORMATION

AUTHORIZATION AND RELEASE TO OBTAIN INFORMATION