Application For Employment - CS Construction

It is the policy of C S Construction, Inc. not to discriminate against an employee, or applicant for employment, because of race, religion, color, national origin, ethnicity, sex, pregnancy, gender identity or expression, sexual orientation, age (40 or older), political affiliation, National Guard or veteran status, genetic information, or disability. Such actions shall include but are not limited to: Employment, Upgrading, Demotion, Transfer, Recruitment or compensation, and Selection for Training, including Apprenticeship, Pre-apprenticeship and/or On-the-job Training.

Date*

Date

Name of Applicant*

First NameLast Name

Current Address*

Street Address

Street Address Line 2

CityState

Zip Code

Phone Number*

Email Address*

Race*

Are You 18 Years of Age or Older?*

YesNo

Date of Birth*

Do You Have A Current/Valid Drivers License?*

YesNo - I Don't Have A Drivers License

NOTE: You will be asked to provide a copy of your MVR (Motor Vehicle Record) prior to any offer of employment.

Which State Is Your Drivers License Issued For?*

AZI DON'T HAVE A DRIVERS LICENSEOther

Do You Have A Valid CDL? (Commercial Drivers License)*

Yes - I Have A CDLNo

Do You Have Reliable Transportation?*

YesNoOther

Are you a U.S. Citizen or otherwise authorized to work in the U.S on an unrestricted basis? (You may be required to provide documentaion)*

YesNo

Are you looking for full-time employment?*

YesNo

If "No", what hours are you available?

Ex: 10am-2pm; Weekdays Only, Etc.

Are you able to work swing shift?*

YesNo

Are you willing to work graveyard shift?*

YesNo

Have you ever been convicted of a felony? (This will not necessarily affect your application)*

Yes I Have Been Convicted of a FelonyNo Felony Convictions

If Yes, Please Explain Felony Conviction & Any Conditions *

If "No", Please Write N/A

If "Yes I Have Been Convicted of a Felony" - You MUST Explain Your Conviction & Status*

Must Explain Felony Conviction & Conditions

I Understand That CS Construction Is Located In Phoenix, Arizona.*

I Understand And Wish To Be Employed In ArizonaI Do Not Agree - If So, Please Do Not Proceed.

How Did You Hear About Us?*

Have you ever applied for employment here?*

YesNo

If Yes, When and Where?

Have you ever been employed by this company?*

YesNo

If Yes, When?

Are You Currently Employed?*

YesNo

Current Employer

If Currently Employed, Indicate Where.

May we contact your current employer?*

YesNoN/A (Not Currently Employed)

Are you available for full-time work?*

YesNo

Are you available for part-time work?*

YesNo

Willing to relocate?*

YesNo

Are you willing to travel?*

YesNo

Date you can start*

Date

Desired Position*

Desired Salary*

Hourly or Annually

Referred By

Name of Employee

Skills & Qualifications*

List all that apply. Ex: Carpenter, CDL, Operator, Laborer, etc.

Education (Highest Level Completed)*

High SchoolCollegeTrade SchoolOther

High School Name & Location

College Name & Location

Post College Name & Location

Other Training & Location

In addition to your work history, are there any other skills, qualifications or experience that we should consider?

Please list any scholastic honors received and offices held in school

Are you planning to continue your studies?*

YesNo

If Yes, where and what courses of study?

Former Employer Name 1

Previous Employer (Company)

Former Employer Address 1

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Former Employer Phone Number 1

Start Date 1

Date

End Date 1

Date

Reason For Leaving 1

May We Contact? 1

YesNo

Former Employer Name 2

Previous Employer (Company)

Former Employer Address 2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Former Employer Phone Number 2

Start Date 2

Date

End Date 2

Date

Reason For Leaving 2

May We Contact? 2

YesNo

Former Employer Name 3

Previous Employer (Company)

Former Employer Address 3

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Former Employer Phone Number 3

Start Date 3

Date

End Date 3

Date

Reason For Leaving 3

May We Contact? 3

YesNo

Reference 1*

First NameLast Name

Reference 1 Relationship & Yrs Acquainted*

RelationshipYears Acquainted

Reference 1 Phone*

Reference 2*

First NameLast Name

Reference 2 Relationship & Yrs Acquainted*

RelationshipYears Acquainted

Reference 2 Phone*

Reference 3*

First NameLast Name

Reference 3 Relationship & Yrs Acquainted*

RelationshipYears Acquainted

Reference 3 Phone*

Upload Resume

Upload a File

Please Read Before Signing:
I certify that all information provided by me on this application is true and complete to the best of my knowledge and that I have withheld nothing that, if disclosed, would alter the integrity of this application.
I authorize my previous employers, schools, or persons listed as references to give any information regarding employment or educational record. I agree that this company and my previous employers will not be held liable in any respect if a job offer is not extended, or is withdrawn, or employment is terminated because of false statements, omissions, or answers made by myself on this application. In the event of any employment with this company, I will comply with all rules and regulations as set by the company in any communication distributed to . the employees.
In compliance with the Immigration Reform and Control Act of 1986, I understand that I am required to provide approved documentation to the company that verifies my right to work in the United States on the first day of employment. I have received from the company a list of the approved documents that are required.
I understand that employment at this company is "at will," which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment is continued on that basis. I hereby acknowledge that I have read and understand the above statements. All prospective employees must provide a current Motor Vehicle Drivers Report matching your driver's license. It is further understood that by making this application, you are authorizing CSCI to make a hiring decision on the results of your driving record. By signing this application, you agree that any claim against CSCI must be filed within 30 days from separation of employment. ALL EMPLOYEES OF THIS COMPANY ARE DRUG TESTED.

Signature*

I Understand The Terms Listed Above

Today's Date*

Date

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

We are a federal contractor or subcontractor. The law requires us to provide equal employment opportunity to qualified people with disabilities. We have a goal of having at least 7% of our workers as people with disabilities. The law says we must measure our progress towards this goal. To do this, we must ask applicants and employees if they have a disability or have ever had one. People can become disabled, so we need to ask this question at least every five years.
Completing this form is voluntary, and we hope that you will choose to do so. Your answer is confidential. No one who makes hiring decisions will see it. Your decision to complete the form and your answer will not harm you in any way. If you want to learn more about the law or this form, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.

How do you know if you have a disability?

A disability is a condition that substantially limits one or more of your “major life activities.” If you have or have ever had such a condition, you are a person with a disability. Disabilities include, but are not limited to:

• Alcohol or other substance use disorder (not currently using drugs illegally)
• Autoimmune disorder, for example, lupus, fibromyalgia, rheumatoid arthritis, HIV/AIDS
• Blind or low vision
• Cancer (past or present)
• Cardiovascular or heart disease
• Celiac disease
• Cerebral palsy
• Deaf or serious difficulty hearing
• Diabetes
• Disfigurement, for example, disfigurement caused by burns, wounds, accidents, or congenital disorders
• Epilepsy or other seizure disorder
• Gastrointestinal disorders, for example, Crohn's Disease, irritable bowel syndrome
• Intellectual or developmental disability
• Mental health conditions, for example, depression, bipolar disorder, anxiety disorder, schizophrenia, PTSD
• Missing limbs or partially missing limbs
• Mobility impairment, benefiting from the use of a wheelchair, scooter, walker, leg brace(s) and/or other supports
• Nervous system condition, for example, migraine headaches, Parkinson’s disease, multiple sclerosis (MS)
• Neurodivergence, for example, attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder, dyslexia, dyspraxia, other learning disabilities
• Partial or complete paralysis (any cause)
• Pulmonary or respiratory conditions, for example, tuberculosis, asthma, emphysema
• Short stature (dwarfism)
• Traumatic brain injury

Voluntary Self-Identification of Disability*

Yes, I have a disability, or have had one in the pastNo, I do not have a disability and have not had one in the pastI do not want to answer

PUBLIC BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995 no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. This survey should take about 5 minutes to complete.

Voluntary Self-Identification of Protected Veteran Status

This employer is a Government contractor subject to the Vietnam Era Veterans' Readjustment Assistance Act of 1974, as amended by the Jobs for Veterans Act of 2002, 38 U.S.C. 4212 (VEVRAA). VEVRAA requires Government contractors to take affirmative action to employ and advance in employment protected veterans. To help us measure the effectiveness of our outreach and recruitment efforts of veterans, we are asking you to tell us if you are a veteran covered by VEVRAA. Completing this form is completely voluntary, but we hope you fill it out. Any answer you give will be kept private and will not be used against you in any way.

For more information about this form or the equal employment obligations of Federal contractors, visit the U.S. Department of Labor’s Office of Federal Contract Compliance Programs (OFCCP) website at www.dol.gov/ofccp.
How Do You Know if You Are a Veteran Protected by VEVRAA?

Contrary to the name, VEVRAA does not just cover Vietnam Era veterans. It covers several categories of veterans from World War II, the Korean conflict, the Vietnam era, and the Persian Gulf War which is defined as occurring from August 2, 1990 to the present.

If you believe you belong to any of the categories of protected veterans please indicate by checking the appropriate box below. The categories are defined on the next page and explained further in an “Am I a Protected Veteran?” infographic provided by OFCCP.

Voluntary Self-Identification of Protected Veteran Status*

I IDENTIFY AS ONE OR MORE OF THE CLASSIFICATIONS OF PROTECTED VETERAN LISTED BELOWI AM NOT A PROTECTED VETERANI DO NOT WISH TO ANSWER

What Categories of Veterans Are “Protected” by VEVRAA?
“Protected” veterans include the following categories: (1) disabled veterans; (2) recently separated veterans; (3) active duty wartime or campaign badge veterans; and (4) Armed Forces service medal veterans. These categories are defined below.
1. A “disabled veteran” is one of the following:
• a veteran of the U.S. military, ground, naval or air service who is entitled to compensation (or who but for the receipt of military retired pay would be entitled to compensation) under laws administered by the Secretary of Veterans Affairs; or
• a person who was discharged or released from active duty because of a service-connected disability.
2. A “recently separated veteran” means any veteran during the three-year period beginning on the date of such veteran's discharge or release from active duty in the U.S. military, ground, naval, or air service.
3. An “active duty wartime or campaign badge veteran” means a veteran who served on active duty in the U.S. military, ground, naval or air service during a war, or in a campaign or expedition for which a campaign badge has been authorized under the laws administered by the Department of Defense.
4. An “Armed forces service medal veteran” means a veteran who, while serving on active duty in the U.S. military, ground, naval or air service, participated in a United States military operation for which an Armed Forces service medal was awarded pursuant to Executive Order 12985.

___________________________________________________________________________

EQUAL EMPLOYMENT OPPORTUNITY POLICY

It is the policy of C S Construction, Inc. not to discriminate against an employee, or applicant for employment, because of race, religion, color, national origin, ethnicity, sex, pregnancy, gender identity or expression, sexual orientation, age (40 or older), political affiliation, National Guard or veteran status, genetic information, or disability. Such actions shall include but are not limited to: Employment, Upgrading, Demotion, Transfer, Recruitment or compensation, and Selection for Training, including Apprenticeship, Pre-apprenticeship and/or On-the-job Training.

REFERRAL OF MINORITY GROUP APPLICANTS

It is the policy of CS Construction, Inc. to provide equal employment opportunity. CS Construction, Inc. encourages all present employees to refer minority group members for employment. Information and procedures, with regard to referring minority applicants, will be discussed upon request.

EEO OFFICER

CS Construction, Inc. has designated Barbara Polk as its equal employment opportunity officer. Barbara will be available to all employees and potential employees to handle any matters concerning our Equal Opportunity Policy, and to answer any questions that may arise concerning this subject. CS Construction, Inc.'s office is located at 22023 N. 20th Avenue, Phoenix, Arizona 85027 or may be reached at (623) 889-7650 during working hours.

PROJECT EEO OFFICER

The Superintendent for C S Construction, Inc. is designated as Project EEO Officer per individual project, and will be on site during working hours.

Human Verification*

By clicking "Submit", you agree to the Terms outlined above.

Employment Application

Education

Employment History

References