CCS Group Employment Application / Solicitud de Empleo (Select Translation)

Name:

First NameLast Name

Address:

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number:

Area CodePhone Number

Consent to Receive Text/SMS Messages:

YesNo

E-mail:

example@example.com

If hired, are you authorized to work in the U.S.?

YesNo

Position Applying For:

Date You Can Start:

MonthDayYear

Desired Rate/Range of Pay:

Were you referred by a CCS Employee?

YesNo

Name of CCS Employee that referred you:

FirstLast

High School Name:

High School Location:

Number of Years Attended:

Graduated?

YesNo

Did you attend College or Trade School?

YesNo

College/Trade School Name

Number of Years Attended

Graduated?

YesNo

Area of Study or Degree

Skills

List any relevant skills

Qualifications

List any relevant certifications or qualifications

Current Employer

Company Name ("None" if not currently working)

May We Contact?

YesNo

Current Employer City & State

Job Position

Average Hours per Week

Rate of Pay

Name of Supervisor

FirstLast

Reason for Leaving?

Start Date

Date

End Date, if applicable

Date

Previous Employer 1

Company Name

Position

Rate of Pay

Average Hours per Week

Reason for Leaving?

Start Date

End Date

Previous Employer 2

Company Name

Position

Rate of Pay

Average Hours per Week

Reason for Leaving?

Start Date

MonthDayYear

End Date

MonthDayYear

Name of Reference 1

Relationship

Years Acquainted

Phone Number

Name of Reference 2

Relationship

Years Acquainted

Phone Number

Resume

Upload a File

By signing and clicking the submit button below, I cerity that all of the information provided by me on this application is true and complete, and I understand that if any false information, ommissions, or misrepresentations are discovered, my application may be rejected and, if I am employed, my employement may be terminated at any time.

I understand that a background check may be conducted, including interviews and reviews of my employment, identity, references, and records. I authorize my current and former employers to provide information about me and release all parties from liability for providing this information in good faith

In consideration of my employment, I agree to conform to the company's rules and regulations, and I agree that my employment and compenstation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.

Candidates selected for hire must pass a physical and drug screen prior to employment. I am aware that the results will be made available to the Human Resources Director or a duly authorized representative. CCS Group, LLC is committed to a drug free work place to protect the safety of workers and the public and will comply with the Federal Drug Free Work Place Act.

Signature*

Custom Concrete Specialists

Employment Application

Personal Information

Employment Desired

Education

Skills & Qualifications

Current Employment

Previous Employment

References

Resume (Optional)

Statement of Employment