Application for Employment

Application for Employment

Birchwood Construction
Personal Information
Position Applied For*
Name*

First NameMiddle NameLast Name
E-mail Address*
Present Address*

Street Address

Street Address Line 2

CityState

Zip Code
Driver's License Number*
Home Phone
Cell Phone*
Are You 18 Years of Age or Older?*

YesNo
For the position applied, can you perform the job-related function with or without reasonable accommodations?*

YesNo
Have you ever been convicted of a felony or do you have any felony charges pending against you?*

YesNo
If yes, please explain:
How did you hear of Birchwood Construction Company? Referred by?*
Have you ever worked for Birchwood Construction Company?*

YesNo
If yes, please briefly explain for how long and why you left:
References

Three individuals not related to you, whom you have known for at least one year.
Reference 1
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Years Acquainted*
Reference 2
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number*
Years Acquainted*
Resume and Cover Letter

If applicable, please upload your resume and/or cover letter.
Upload Resume*

Upload a File

Cancelof
Agree and Sign

Please read the following statement carefully before signing to indicate your understanding.

I understand that Birchwood Construction Company requires all employees to submit to a drug screen prior to and during the course of employment. Due to the nature of the business I may be asked to drive a company vehicle or be assigned a company vehicle as a condition of my employment, I therefore agree to have my driving record checked.

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed; falsified statements on this application will result in termination.

I understand and agree that, if hired, my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated with or without cause, at any time, with or without notice.

I authorize the investigation of all statements contained in this application for any employment-related purpose.
Electronic Signature of Applicant*
Please Type Your Name
Date*

MonthDayYear
Date
Should be Empty: