Job Application Full Name (required) Email Address (required) Phone Number (required) Current Address: Street Address Street Address Line 2 City State Zip Country Employment Desired: Position(s) applying for Project ManagerSuperintendentForemanSafety CoordinatorStraw BossBlaster/CoaterBending EngineerWelderField ClerkLaborCDL Lowboy DriverWelder HelperHydrotest TechnicianHydrovac TechnicianHeavy Equipment OperatorCrane OperatorTractor OperatorMechanicShop ForemanOther Provide Details if "Other" was selected: If you are under 18 years of age, can you provide required proof of your eligibility to work? YesNo Have you ever been employed here before? YesNo Have you applied here before? YesNo Do you have a valid driver's license? YesNo Are you currently employed? YesNo Are you prevented from lawfully becoming employed in this country because of visa or immigration status? (Proof of status required upon employment) YesNo Date available to start: Are you available to work: Full TimePart TimeShift WorkTemporary Are you currently on "lay-off" status and subject to recall? YesNo Can you travel if job requires it? YesNo Have you been convicted of a felony within the last 7 years? (Conviction will not necessarily disqualify an applicant from employment) YesNo If "Yes" please explain: Education: High School High School Name Address/Location Number of Years Attended Graduated? YesNo Undergraduate College/University College/University Name Address/Location Number of Years Attended Graduated? YesNo Area of Study/Degree Graduate/Professional School Graduate/Professional School Name Address/Location Number of Years Attended Graduated? YesNo Area of Study/Degree Foreign Language: Are you able to speak, read, and/or write in any foreign language(s)? YesNo If "Yes" please indicate which language and the proficiency for speak, read and/or write: Qualifications, Training, Certifications, Skills: Summarize special job-related skills and qualifications acquired from employment or other experience. Include any job-related training in the United States Military. Work Experience: Start with present to last job. Include any job-related military service assignments and volunteer activities. You may exclude organizations which may indicate race, color, religion, gender, national origin, disabilities, or other protected status. Current Employment: Name of Current Employer or NONE if not Employed Position Work Performed Hourly Rate/ Salary (Starting) Hourly Rate/ Salary (Final) Length of Service Reason for leaving? May we contact employer? YesNo Previous Employment 1: Name of Previous Employer Position Work Performed Hourly Rate/ Salary (Starting) Hourly Rate/ Salary (Final) Length of Service Reason for leaving? May we contact employer? YesNo Previous Employment 2: Name of Previous Employer Position Work Performed Hourly Rate/ Salary (Starting) Hourly Rate/ Salary (Final) Length of Service Reason for leaving? May we contact employer? YesNo Previous Employment 3: Name of Previous Employer Position Work Performed Hourly Rate/ Salary (Starting) Hourly Rate/ Salary (Final) Length of Service Reason for leaving? May we contact employer? YesNo References: List (3) references who are not related to you and are not previous employers. Reference 1 Name Years Acquainted Email Phone Reference 2 Name Years Acquainted Email Phone Reference 3 Name Years Acquainted Email Phone Resume (Optional): Upload Resume (PDF Only. 3mb limit.) Applicant's Statement: I certify that answers given herein are true to the best of my knowledge. I acknowledge that while Community Construction Co., LLC will give my application reasonable consideration, acceptance of my application does not imply an offer of employment. This application for employment shall be considered active for a period of time not to exceed 1 year. Any applicant wishing to be considered for employment beyond this period should inquire as to whether or not applications are being accepted at that time. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an "at will" nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this "at will" employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. The applicant understands that neither this document nor any offer of employment from the employer constitute an employment contract unless a specific document to that affect is executed by employer and employee in writing. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I also understand that I am required to abide by all rules and regulations of the employer. Do you accept these statements? (required) Yes I do
