APPLICATION FOR EMPLOYMENT

(PRE-EMPLOYMENT QUESTIONNAIRE)

It is our policy to promote equal employment opportunity to all qualified persons, without regard to race, color, creed, sex, religion, marital status, age, national origin, or ancestry, physical or mental disability, medical condition, sexual orientation status, veteran status, or any other categories protected under federal or state law.

RESUME ATTACHED?*

YESNO

(If yes, please include with Application)

APPLICATION DATE*

Date

FIRST NAME*

LAST NAME*

M.I.

STREET ADDRESS*

Apartment/Unit #

City*

State*

ZIP Code*

PHONE NO. ( )*

Area CodePhone Number

E-MAIL ADDRESS*

example@example.com

ARE YOU 18 YEARS OR OLDER?*

YESNO

Are you a citizen of the United States?*

YESNO

If no, are you authorized to work in the U.S.?*

YESNO

POSITION

DATE YOU CAN START

Date

DESIRED SALARY

ARE YOU EMPLOYED NOW?

YESNO

IF SO, MAY WE INQUIRE OF YOUR PRESENT EMPLOYER?

YESNO

HAVE YOU EVER WORKED FOR THIS COMPANY?

YESNO

IF YES, WHEN?

REFERRED BY

GRAMMAR SCHOOL

NO. OF YEARS ATTENDED GRAMMAR SCHOOL

DID YOU GRADUATE GRAMMAR SCHOOL?

GRAMMAR SCHOOL MAJOR/DEGREES RECEIVED

HIGH SCHOOL

NO. OF YEARS ATTENDED HIGH SCHOOL

DID YOU GRADUATE HIGH SCHOOL?

HIGH SCHOOL MAJOR/DEGREES RECEIVED

COLLEGE

NO. OF YEARS ATTENDED COLLEGE

DID YOU GRADUATE COLLEGE

COLLEGE MAJOR/DEGREES RECEIVED

TRADE, BUSINESS OR CORRESPONDENCE SCHOOL

NO. OF YEARS ATTENDED TRADE SCHOOL

DID YOU GRADUATE TRADE SCHOOL?

TRADE SCHOOL MAJOR/DEGREES RECEIVED

SPECIAL SKILLS OR LICENSES

OUTSIDE ACTIVITIES (OPTIONAL)

DESCRIBE YOUR EXPERIENCE IN PROJECT ENGINEERING AND/OR MANAGEMENT

YEARS OF EXPERIENCE IN THE CONSTRUCTION POSITION FOR WHICH YOU ARE APPLYING?

DO YOU HAVE WOOD FRAMING EXPERIENCE?

YESNO

HOW MANY YEARS?

FIELD CONSTRUCTION EXPERIENCE (IF APPLYING FOR FIELD POSITION)

WHAT OTHER CONSTRUCTION WORK EXPERIENCE DO YOU HAVE?

DO YOU HAVE LEADERSHIP EXPERIENCE? LEAD PERSON, FOREMAN, ETC

YESNO

HOW MANY YEARS?

IF “YES”, PLEASE DESCRIBE

LIST CONSTRUCTION EQUIPMENT YOU CAN OPERATE

LIST YOUR CONSTRUCTION SKILLS

LIST BELOW THE LAST THREE (3) EMPLOYERS, STARTING WITH THE LAST ONE FIRST. ATTACH RESUME, IF AVAILABLE.

POSITION 1 - NAME & ADDRESS OF EMPLOYER

(INCLUDE SUPERVISOR & PHONE NUMBER)

POSITION 1 - FROM

Date

POSITION 1 - TO

Date

POSITION 1 - JOB TITLE

REASON FOR LEAVING POSITION 1

POSITION 2 - NAME & ADDRESS OF EMPLOYER

(INCLUDE SUPERVISOR & PHONE NUMBER)

POSITION 2 - FROM

Date

POSITION 2 - TO

Date

POSITION 2 - JOB TITLE

REASON FOR LEAVING POSITION 2

POSITION 3 - NAME & ADDRESS OF EMPLOYER

(INCLUDE SUPERVISOR & PHONE NUMBER)

POSITION 3 - FROM

Date

POSITION 3 - TO

Date

POSITION 3 - JOB TITLE

REASON FOR LEAVING POSITION 3

WHICH OF THESE JOBS DID YOU LIKE MOST?

WHAT DID YOU LIKE MOST ABOUT THIS JOB?

GIVE THE NAMES OF TWO (2) PERSONS, NOT RELATED TO YOU, WHOM YOU HAVE KNOWN FOR AT LEAST ONE (1) YEAR.

REFERENCES

	NAME	ADDRESS	BUSINESS	YEARS ACQUAINTED
1.
2.

IN CASE OF EMERGENCY NOTIFY:

NAME*

ADDRESS*

PHONE NO.*

I AUTHORIZE THE COMPANY TO CONTACT MY FORMER EMPLOYERS AND REFERENCES TO SEEK CONFIRMATION OF MY PAST EMPLOYMENT & CHARACTER. I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE, AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESENTATIONS ARE DISCOVERED, MY APPLICATION MAY BE REJECTED AND, IF I AM EMPLOYED, MY EMPLOYMENT MAY BE TERMINATED. IN CONSIDERATION OF MY EMPLOYMENT, I AGREE TO CONFORM TO THE COMPANY'S RULES AND REGULATIONS, AND I AGREE THAT MY EMPLOYMENT AND COMPENSATION CAN BE TERMINATED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME, AT EITHER MY OR THE COMPANY'S OPTION. I ALSO UNDERSTAND AND AGREE THAT THE TERMS AND CONDITIONS OF MY EMPLOYMENT MAY BE CHANGED, WITH OR WITHOUT CAUSE, AND WITH OR WITHOUT NOTICE, AT ANY TIME BY THE COMPANY. I UNDERSTAND THAT NO COMPANY REPRESENTATIVE, OTHER THAN ITS PRESIDENT, AND THEN ONLY WHEN IN WRITING AND SIGNED BY THE PRESIDENT, HAS ANY AUTHORITY TO ENTER INTO ANY AGREEMENT FOR EMPLOYMENT FOR ANY SPECIFIC PERIOD OF TIME, OR TO MAKE ANY AGREEMENT CONTRARY TO THEFOREGOING.

I UNDERSTAND THAT THIS APPLICATION IS CONSIDERED ACTIVE ONLY FOR 30 DAYS FROM THE DATE SHOWN.

DATE*

Date

SIGNATURE*

PRINT NAME*

POSITION

DEPT.

SALARY/WAGE

REPORT DATE

Date

APPLICATION FOR EMPLOYMENT

PERSONAL INFORMATION

EMPLOYMENT DESIRED

EDUCATION

GENERAL INFORMATION

PROJECT ENGINEERING AND/OR MANAGEMENT EXPERIENCE

FORMER EMPLOYERS

POSITION 1

POSITION 2

POSITION 3

DISCLAIMER & ACKNOWLEDGEMENT

TO BE COMPLETED BY CORE’S PERSONNEL DEPARTMENT