Application

Application for Employment

AN EQUAL OPPORTUNITY EMPLOYER
Applying for Position*
Today's Date*

MonthDayYear
Date

EMPLOYMENT HISTORY
Most Recent Employer
Employer*
Supervisor's Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Month/Year Started*
Month/Year Left*
Starting Pay Rate*
Ending Pay Rate*
Your job duties:*
Reason for leaving:*
Next Employer
Employer*
Supervisor's Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Month/Year Started*
Month/Year Left*
Starting Pay Rate*
Ending Pay Rate*
Your job duties:*
Reason for leaving:*
Next Employer
Employer*
Supervisor's Name*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Month/Year Started*
Month/Year Left*
Starting Pay Rate*
Ending Pay Rate*
Your job duties:*
Reason for leaving:*

REFERENCES
Reference 1 Name*
Reference 1 Phone Number*

Area CodePhone Number
Reference 1 Occupation*
Reference 2 Name
Reference 2 Phone Number

Area CodePhone Number
Reference 2 Occupation
Reference 3 Name
Reference 3 Phone Number

Area CodePhone Number
Reference 3 Occupation

EDUCATIONAL/TRAINING INFORMATION
Please describe your academic education (List schools, courses, degrees, etc):*
Describe any vocational training you had:
Describe any on-the-job training or other technical or special training you had:
List any equipment you can operate (along with how long you have operated each machine) ex. CAT 336 - 5 years:

MILITARY EXPERIENCE
Were you in the armed forces?*

YesNo
Briefly describe your duties and any specific training:

DISCLAIMERS/STATEMENT OF POLICY
By selecting "Yes" below, I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I also agree that any falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date.

I authorize persons, schools, my current employer (if application), and previous employers and organizations named in this application (and accompanying resume, if any) to provide any relevant information that may be required to arrive at any employment decision.
By selecting yes and submitting this digital application for employment you agree to the above Disclaimer.*

YesNo
It is our company policy to prevent substance abuse from having an adverse effect on our employees and on the performance of their work. We maintain that the work environment is safer and more productive without the possession of illegal or inappropriate drug/substances in the body and/or on the company or client property.

Notice: A pre-employment urine drug screen test will be performed on all applicants who are considered for hire. You will be dropped from consideration for employment with B&C Construction Co., Inc. if the results of your urine drug screen indicate that you are applying for a job while you have the presence of any illegal drugs or substances in your system.

Notice: A pre-employment background check will be performed on all applicants who are considered for hire. You will be dropped from consideration for employment with B&C Construction Co., Inc. if the results of your backgournd check indicate that you are applying for a job while you have previous or pending charges that may be relevant if job related.

By selecting "Yes" below, I agree that I have read and understand the above Policy Statement and Notice of Urine Drug Screen. I agree to such test so that I may be considered further for employment. Furthermore, I understand that if I am employed, as a condition of my employment, I will subject myself to the other searches and urine screens that are performed according to company policy. If I refuse such searches or screens, I will be terminated.

By selecting "Yes" below, I also understand that if I am hired, my employment is not for any definite term. I may terminate my employment at any time. Also, the company may terminate my employment at any time, with or without notice.
By selecting yes and submitting this digital application for employment you agree to the above Policy and Consent.*

YesNo
Should be Empty:

Application for Employment

GENERAL INFORMATION

EMPLOYMENT HISTORY

Most Recent Employer

Next Employer

Next Employer

REFERENCES

EDUCATIONAL/TRAINING INFORMATION

MILITARY EXPERIENCE

DISCLAIMERS/STATEMENT OF POLICY