Menconi Employment Application Logo
  • APPLICATION FOR EMPLOYMENT

  • To be considered for employment opportunities, your application must be completely filled-out.

    Qualified applicants will be considered active for 3-months from date of application.

    All qualified applicants are considered regardless of race, color, sex, age, national origin, religion, disability, genetic information or any other protected status in accordance with state, federal and local law.

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  • EMPLOYMENT DESIRED

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  • MENCONI TERRAZZO

    BACKGROUND INFORMATION
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  • In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire.

  • DRIVING HISTORY

  • EDUCATION, SKILLS, & WORK HISTORY

  • EDUCATION

    Please provide all formal education or traning information below.

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  • SKILLS/TRADE EXPERTISE

    Please rate your experience/skill level for each of the categories below.

  • WORK EXPERIENCE

    Please provide your work experience (either the last ten years or last 5 places of employment, beginning with the most recent.

  • Most Recent:

    Employer Name:
    *   

    Employed From:
    Pick a Date*   to   Pick a Date*   

    Company Address:
    *   *   *   *   *   

    Company Phone:
       *   Type of Business:   *   
       
    Your Position:
    *   

    Supervisor Name:   *   
    Supervisor Title:   *   

    May we contact this supervisor to verify employment?
                   

    Most recent salary:   *   

    Reason for leaving:   *   

  • Previous Employer

    Employer Name:
       

    Employed From:
    Pick a Date   to   Pick a Date   

    Company Address:
                   

    Company Phone:
       Type of Business:      
       
    Your Position:
       

    Supervisor Name:      
    Supervisor Title:      

    May we contact this supervisor to verify employment?
             

    Most recent salary:      

    Reason for leaving:      

  • Previous Employer

    Employer Name:
       

    Employed From:
    Pick a Date   to   Pick a Date   

    Company Address:
                   

    Company Phone:
       Type of Business:      
       
    Your Position:
       

    Supervisor Name:      
    Supervisor Title:      

    May we contact this supervisor to verify employment?
             

    Most recent salary:      

    Reason for leaving:      

  • Previous Employer

    Employer Name:
       

    Employed From:
    Pick a Date   to   Pick a Date   

    Company Address:
                   

    Company Phone:
       Type of Business:      
       
    Your Position:
       

    Work Performed:
       

    Supervisor Name:      
    Supervisor Title:      

    May we contact this supervisor to verify employment?
             

    Most recent salary:      

    Reason for leaving:      

  • APPLICATION ACKNOWLEDGEMENT

  • I understand by filling out this application that Menconi Terrazzo is in no way obligated to offer me employment. I certify that the facts set forth in my application for employment are true, correct and complete. I agree that any misrepresentation or false statement of this application shall be considered grounds for rejecting this application, rescinding a tentative job offer or immediate discharge if discovered after hire. I authorize Menconi Terrazzo to investigate any of the information contained on this application, including the examination of past employment records, references and other facts stated on the application. I waive any rights which I may have to receive written notice from any former employer listed on this application regarding the release to Menconi Terrazzo of any information concerning any disciplinary action taken against me by said former employers.

    Except for employees covered by collective bargaining agreements, if hired, I agree and understand that either Menconi Terrazzo or I may terminate my employment and compensation at any time, with or without cause, and with or without notice. I further understand that no one employed by Menconi Terrazzo other than the president of Menconi Terrazzo by a specific written contract (naming the particular individual and signed by both the president and the individual) has authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing. I also recognize and accept the right of Menconi Terrazzo to unilaterally modify, amend, or eliminate any policies, handbooks, rules or procedures in its sole discretion at any time.

    This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge.

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