C-Hawkk Construction LLC. Employment Application
C-Hawkk Construction LLC. is an Equal Opportunity Employer. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other protected status. All employment decisions are made based on qualifications, merit, and business needs.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Date of Birth
*
-
Month
-
Day
Year
Date
SSN
*
Desired Pay
Desired Position
Are you a citizen of the United States? (choose one)
*
Yes
No
If no, are you authorized to work in the U.S.? (choose one)
*
Yes
No
Are you 21 years of age or older? (choose one)
*
Yes
No
Have you ever been convicted of a felony? (choose one)
*
Yes
No
If yes, explain.
Are you able to stand for long periods of time? (choose one)
*
Yes
No
Are you able to lift and carry 50 lbs. repeatedly? (choose one)
*
Yes
No
Are you available to work overtime? (choose one)
*
Yes
NO
Are you available nights, weekends and holidays? (choose one)
*
Yes
No
Education
High School
Address
Duration
From
To
Did you graduate? (choose one)
Yes
No
GED
College
Address
Duration
From
To
Did you graduate? (choose one)
Yes
No
Other
Other
Address
Duration
From
To
Did you graduate? (choose one)
Yes
No
Other
Skills
Please list technical skills, trade skills, etc. (relevant to the position)
Driving Qualifications
Fill only if applies
State
License #
Class
Expiration
-
Month
-
Day
Year
Date
Accident History
Fill only if applies
Date
-
Month
-
Day
Year
Date
Nature of Accident
Fatalities (choose one)
Yes
No
Any Injury (choose one)
Yes
No
Date
-
Month
-
Day
Year
Date
Nature of Accident
Fatalities (choose one)
Yes
No
Any Injury (choose one)
Yes
No
Date
-
Month
-
Day
Year
Date
Nature of Accident
Fatalities (choose one)
Yes
No
Any Injury (choose one)
Yes
No
Traffic Convictions
Fill only if applies
Date
-
Month
-
Day
Year
Date
Location (city/state)
Type
Date
-
Month
-
Day
Year
Date
Location (city/state)
Type
Date
-
Month
-
Day
Year
Date
Location (city/state)
Type
Have you ever been denied a license or permit or the privilege of operating a motor vehicle? (choose one)
*
Yes
No
Have any license, permit or privilege ever been suspended or revoked? (choose one)
*
Yes
No
If yes too either (last two questions), please explain.
Were you subject to FMCSR’s while employed? (choose one)
*
Yes
No
Was your job designated as a safety sensitive function in any DOT regulated mode subject to the drug and alcohol testing requirements of 49 CRF part 40? (choose one)
*
Yes
No
References
Please list three professional references.
Reference 1
Name
Relationship
Company
Phone
Address
Email
May we contact for a reference? (choose one)
Yes
No
Reference 2
Name
Relationship
Company
Phone
Address
Email
May we contact for a reference? (choose one)
Yes
No
Reference 3
Name
Relationship
Company
Phone
Address
Email
May we contact for a reference? (choose one)
Yes
No
Previous Employment
All drivers applying to drive in intrastate or interstate commerce must provide the followinginformation to employers from the preceding three years. List mailing addresses, streetnumber, city, state, and zip code.Applicants applying to drive a “Commercial motor vehicle” as defined by Part 383, inintrastate or interstate commerce shall also provide an additional seven years ofinformation to employers for whom the applicant driver operated such vehicle. (NOTE: listemployers in reverse order starting with the most recent. Add another sheet if necessary.)
Previous Employment (Most recent)
Company
Supervisor
Address
Phone
Job Title
Employment Period
May we contact for a reference? (choose one)
Yes
No
Previous Employment
Company
Supervisor
Address
Phone
Job Title
Employment Period
May we contact for a reference? (choose one)
Yes
No
Core Values
WE ARE COMMITTED TO GETTING THINGS DONE - Can you tell us about a time when you were committed to getting something done even when it may not have benefited you personally? (Ex. staying late to meet a deadline)
*
ALWAYS IMPROVING - What are some areas that you could show improvement in? How would you do so?
*
OUR SERVICE IS BETTER THAN THE REST - What do you think is more important, quality or quantity? Explain.
*
FAMILY FOCUS - How do you function in a team setting? Do you prefer to work as a team or by yourself?
*
LOYAL - How have you shown previous employers or coworkers you are loyal?
*
PLEASE READ CAREFULLY AND SIGN THAT YOU UNDERSTAND AND ACCEPT THIS INFORMATION
I certify that the information on this application and its supporting documents is accurate and complete. I understand and agree that failure to fully complete the form, or misrepresentation or omission of facts, represents grounds for elimination from consideration for employment, or termination after employment if discovered at a later date. I authorize C-Hawkk Construction LLC. to investigate, without liability, all statements contained in this application and supporting materials. I authorize all references and former employers, without liability, to make a full response to any inquiries in connection with this application for employment. If requested, I agree to submit to a physical exam, criminal and credit background investigation, and/or screening for illegal substances upon conditional offer of employment. I understand that this document is NOT an offer of employment, and that an offer of employment, if tendered, does NOT constitute a contract for continued guaranteed employment. I understand that staff employees of C-Hawkk Construction LLC. are at-will, and the employment relationship may be terminated at any time by either party, for any or no reason, other than a reason prohibited by law. If employed, I will be required to furnish proof of eligibility to work in the United States, to file a state security questionnaire and State loyalty oath, and to comply with company and departmental regulations. I understand that if employed on a temporary basis, I would be paid for hours worked only and would be ineligible for benefits including paid time off. If employed on a regular, benefits-eligible basis. I understand that any benefits I receive may be subject to change or discontinuation at any time without prior notice. I understand that the first 90 days of regular employment represent a provisional period, during which I would not be eligible to applyfor transfer or promotion and during which I may be terminated without right of appeal.
Date
*
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Month
-
Day
Year
Date
Name
*
First Name
Last Name
Signature
*
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