Step 1 of 7 0% Position For Which You Are Applying: Lowboy Drive Site Work Foreman Heavy Equipment Operator Skilled Laborer Carpenter First Name:(Required)Last Name:(Required)Middle Name:(Required)Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) How Did You Learn About Us? Advertisement Friend Walk-In Employment Agency Relative EDUCATIONHigh School AttendedAreas of StudyDid you earn a Diploma?Unergraduate CollegeAreas of StudyDid you earn a Diploma?Trade/Technical SchoolAreas of StudyDid you earn a Diploma? EMPLOYMENT INFORMATIONPosition Applied ForDate You Can Start Work MM slash DD slash YYYY Desired SalaryDo You Prefer?(Required) Full-Time Part-Time Can You Work? Weekends Evenings Are you at least 18 years of age and legally eligible to work in the United States? Yes No Will you work overtime when necessary?(Required) Yes No Have you received a description of the job or been made aware of the essential functions of the job you are applying for?(Required) Yes No Do you understand the job requirements?(Required) Yes No Are you on layoff and subject to recall?(Required) Yes No Have you ever been discharged or asked to resign from a job?(Required) Yes No Have you ever been involuntarily terminated from a job?(Required) Yes No EMPLOYMENT HISTORYMay we contact your present employer?(Required) Yes No MOST RECENT EMPLOYEREmployerAddress Street Address City State / Province / Region ZIP / Postal Code PhonePosition HeldDates From/ToSupervisorPayDutiesReason for LeavingNEXT MOST RECENT EMPLOYEREmployerAddress Street Address City State / Province / Region ZIP / Postal Code PhonePosition HeldDates From/ToSupervisorPayDutiesReason for LeavingNEXT MOST RECENT EMPLOYEREmployerAddress Street Address City State / Province / Region ZIP / Postal Code PhonePosition HeldDates From/ToSupervisorPayDutiesResaon for LeavingReference #1Name(Required)Address & Phone(Required)Relationship(Required)Years Known(Required)Reference #2Name(Required)Address & Phone(Required)Relationship(Required)Years Known(Required)Reference #3Name(Required)Address & Phone(Required)Relationship(Required)Years Known(Required) JOB RELATED SKILLSDo you have a valid driver's license? Yes No Have you been convicted of or pled guilty to any traffic related offense within the last 5 years?(Required) Yes No Have you had your driver's license suspended or revoked or had your driving privileges modified by a court of law? Yes No Please use this space to list any special skills/licenses/certifications you may have that relate to the position applied for: APPLICANT'S CERTIFICATION AGREEMENTConsent I agree to the privacy policy.1. I authorize the investigation of all statements contained in this application and release from all liability any persons or employers supplying such information, and I also release EZ Construction from all liability which might result from making the investigation. 2. I certify that the facts and information set forth in this application are true and complete to the best of my knowledge. I understand that any falsification, misrepresentation or omission of facts on this application ( or on any required documents) may result in denial of employment or immediate termination of employment, regardless of when or how discovered. 3. I agree, if I am offered and accept a position, to conform to all existing and future EZ Construction rules and regulations and I understand that EZ Construction reserves the right to change wages, hours, and working conditions as deemed necessary. I ALSO UNDERSTAND THAT, IF HIRED, MY EMOPLOYMENT WILL BE AT-WILL, MEANING THAT EITHER PARTY CAN END THE EMPLOYMENT RELATIONSHIP AT ANY TIME AND FOR ANY OR NO REASON. 4. I understand that any employment offer is contingent upon my providing, within three (3) working days of employment, valid proof of identity and eligibility to work I order to comply with the Immigration Reform and Control Act of 1986 5. I have read and reviewed the information provided in this application and the above statements. By signing this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.Signature(Required) First Last Date(Required) MM slash DD slash YYYY Untitled
