Application - E-Z Construction

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 State ZIP Code

Phone(Required)

Email(Required)

How Did You Learn About Us?

Friend

Walk-In

Employment Agency

Relative

Have you ever been convicted of a crime?

Yes

EDUCATION

High School Attended

Areas of Study

Did you earn a Diploma?

Unergraduate College

Areas of Study

Did you earn a Diploma?

Trade/Technical School

Areas of Study

Did you earn a Diploma?

EMPLOYMENT INFORMATION

Position Applied For

Date You Can Start Work

MM slash DD slash YYYY

Desired Salary

Do 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

Will you work overtime when necessary?(Required)

Yes

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

Do you understand the job requirements?(Required)

Yes

Are you on layoff and subject to recall?(Required)

Yes

Have you ever been discharged or asked to resign from a job?(Required)

Yes

Have you ever been involuntarily terminated from a job?(Required)

Yes

EMPLOYMENT HISTORY

May we contact your present employer?(Required)

Yes

MOST RECENT EMPLOYER

Employer

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Position Held

Dates From/To

Supervisor

Pay

Duties

Reason for Leaving

NEXT MOST RECENT EMPLOYER

Employer

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Position Held

Dates From/To

Supervisor

Pay

Duties

Reason for Leaving

NEXT MOST RECENT EMPLOYER

Employer

Address

Street Address City State / Province / Region ZIP / Postal Code

Phone

Position Held

Dates From/To

Supervisor

Pay

Duties

Resaon for Leaving

Reference #1

Name(Required)

Address & Phone(Required)

Relationship(Required)

Years Known(Required)

Reference #2

Name(Required)

Address & Phone(Required)

Relationship(Required)

Years Known(Required)

Reference #3

Name(Required)

Address & Phone(Required)

Relationship(Required)

Years Known(Required)

JOB RELATED SKILLS

Do you have a valid driver's license?

Yes

Have you been convicted of or pled guilty to any traffic related offense within the last 5 years?(Required)

Yes

Have you had your driver's license suspended or revoked or had your driving privileges modified by a court of law?

Yes

Please list all states from which you hold of have held a driver's license:

Yes

Please use this space to list any special skills/licenses/certifications you may have that relate to the position applied for:

APPLICANT'S CERTIFICATION AGREEMENT

Consent

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