Date

YYYY

What position are you applying for?

Name

First Name

Last Name

Social Security Number (###-##-####)

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Is this a mobile number or landline?

Mobile

Land

If you're under 18, and it is required, can you furnish a work permit?

Yes

If no, why not?

Have you worked here before?

Yes

If yes, when and what did you do here?

Are you legally eligible to work in this country?

Yes

When could you start working here?

YYYY

What's your desired pay range (per hour or salary)?

What type of employment are you looking for?

Full-Time

Part-Time

Temporary

I just want to work, so I'll take what I can get.

Are you willing to submit to pre-employment and random drug tests?

Yes

Have you ever pled guilty or no contest to or been convicted of a crime? Answering yes does not automatically exclude you from consideration for employment.

Yes

If yes, please provide some details like the nature of the offense, rehabilitation, etc.

Do you have a valid drivers license?

Yes

EMPLOYMENT HISTORY

Please provide information for your past three employers, internships or volunteer positions. Start with the most recent.

Employer #1

Phone

(###)

###

####

What did you do there?

How long did you work there?

Why did you stop working there?

When did you stop working there?

YYYY

Immediate Supervisor

First Name

Last Name

Can we contact them for a reference?

Yes

Ending Pay Rate/Salary (Please specify if per hour/week/year.)

Employer #2

Phone

(###)

###

####

What did you do there?

How long did you work there?

Why did you stop working there?

When did you stop working there?

YYYY

Immediate Supervisor

First Name

Last Name

Can we contact them for a reference?

Yes

Ending Pay Rate/Salary Range (Please specify if per hour/week/year.)

Employer #3

Phone

(###)

###

####

What did you do there?

How long did you work there?

Why did you stop working there?

When did you stop working there?

YYYY

Immediate Supervisor

First Name

Last Name

Can we contact them for a reference?

Yes

Ending Pay Rate/Salary (Please specify if hourly/weekly/yearly.)

SKILLS & QUALIFICATIONS

Do you have any training, education, skills, licenses, certificates or experiences that should make us want to hire you? Tell us about them here. Don't be humble.

REFERENCES

Please provide the name and contact information of three people — besides your mom — who will say nice things about you.

Reference #1

First Name

Last Name

Company

Phone

(###)

###

####

Reference #2

First Name

Last Name

Company

Phone

(###)

###

####

Reference #3

First Name

Last Name

Company

Phone

(###)

###

####

Statement of Application

I certify that all the information I've provided in this application is to the best of my knowledge true, complete and accurate. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to cancel further consideration of this application, or immediately discharge me from the employer's service, whenever it is discovered. 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, licensing 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 such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no questions on this application are used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state, or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and 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 authority to work in the United States and that Federal Immigration laws require me to complete an 1-9 form in this regard.

By providing my full name here I certify that I have read, fully understand and accept all terms of the Statement of Application that appears above.

Date

YYYY

Thanks for your application! We’ll take a look, discuss and let you know soon if we’d like to talk more.

Employment Application

clark brothers Building
contractors, LLC

Menu

Follow

Employment Application

clark brothers Buildingcontractors, LLC

Menu

Follow

clark brothers Building
contractors, LLC