Application for Employment PERSONAL: Name: Address: City: State: Zip Code: Home Phone: Social Security: Cell Phone: Email Address: Position Desired: Pay Expected: Are you 18 years of age or older? Yes No Date available for work: Have you ever been employed here before? Yes No If yes, give dates and supervisors: Are you legally eligible for employment in this country? Yes No Type of employment desired: Full-Time Part-Time Temporary Seasonal Have you completed the 10 hour OSHA Safety Course? Yes No If so, OSHA Card #: Do you have a CDL Drivers License? Yes No If yes, what Class? Answering "yes"  to the following question does not constitute an automatic bar to employment.  Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.   Have you ever pled "guilty" or "no contest" to, or been convicted of a crime? Yes No If yes, please provide date(s) and details EDUCATION: College: Course of Study: Graduate?: Yes No High School: Course of Study: Graduate?: Yes No Other: Course of Study: Graduate?: Yes No EMPLOYMENT: (list most recent first): Company: Telephone: Address: City: State: Weekly Salary: Employed from: to: Name of Supervisor: Reason for leaving : Company: Telephone: Address: City: State: Weekly Salary: Employed from: to: Name of Supervisor: Reason for leaving : Company: Telephone: Address: City: State: Weekly Salary: Employed from: to: Name of Supervisor: Reason for leaving : REFERENCES: List names and telephone numbers of three business/network references who are not related to you.  If not applicable, list three schools or personal references who are not related to you. Name: Telephone: Title: Relationship to you: Number of years known:     Name: Telephone: Title: Relationship to you: Number of years known:     Name: Telephone: Title: Relationship to you: Number of years known:       APPLICANT STATEMENT I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licesnsing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview.  I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.   I understand that this application remaings current for one year.  At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, I must fill out and submit a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice except as may be required by law.   This application does not constitute an agreement or contract for employment for any specified period or definite duration.  I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president. I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States of America and that federal immigration laws require me to complete an I-9 Form in this regard. I understand that any information provided by me that is found to be false, incomplete of misrepresented in any respect, will be sufficient cause to (1) eliminate me from further consideration for employment, or (2) may result in my immeidate discharge from the employer's service, whenever it is discovered. By submitting this application online, I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement. LIST OF EXPERIENCE Please complete the following: No Experience Some Experience Much Experience Comments Supervision Survey/Stakeout Excavator Operator Dozer Operator Grader Operator Crane Operator Other Equipment Operator Concrete footings/foundations Concrete slabs Concrete finishing Rough Carpentry Finish Carpentry Roofing Hang Metal/Wood Doors Mount Windows Steel Stud Framing Drywall Hanging Drywall Finishing HVAC work Plumbing work Electrical work Other skills (list)                 Overall: Steel Building Erection Pole Building Erection Residential Construction Commercial Construction Voluntary Equal Employment Opportunity Survey This information does not influence decision-making relating to any employment matter, and we appreciate your cooperation in providing this information. Sex: (Please check one): Male Female Race/Ethnicity (Choose one which best idenifies you): White   Black or African American   Mexican   Puerto Rican   Other Hispanic or Latino (specify): Native Hawaiian   Other Pacific Islander (specify): American Indian or Alaskan Native   Asian (specify): Thank You! FAILURE TO COMPLETE THIS FORM DOES NOT PRECLUDE THE APPLICANT'S CONSIDERATION FOR THE POSITION APPLIED FOR.