Application for Employment

  • This application will become invalid after 14 days, then you must re-apply.
  • Answer all questions in English.
  • Answer all questions in full.

Eriksen Construction Company, Inc. is an Equal Opportunity/Affirmative Action Employer dedicated to a policy of non-discrimination in employment due to race, creed, sex, marital status, age, religion, national origin or physical handicap.

Date: SSN: Telephone:

First name:    Initial:    Last name:

Present Address:

City:    State:    Zip:

Position Information

Position Desired:

Employment History

Employer 1

Present/Past Employer:  

Position:  

Employed From (Mo./Yr.):   To (Mo./Yr.):  

Starting Salary:    Ending Salary:

Reason for Leaving:   

Employer 2

Present/Past Employer:  

Position:  

Employed From (Mo./Yr.):   To (Mo./Yr.):  

Starting Salary:    Ending Salary:

Reason for Leaving:   

Employer 3

Present/Past Employer:  

Position:  

Employed From (Mo./Yr.):   To (Mo./Yr.):  

Starting Salary:    Ending Salary:

Reason for Leaving:   

Additional Inquiries Concerning Employment History

Do you have a valid driver’s license?    Yes   No

Are you able to travel to projects out of town? Yes   No

If hired, how soon would you be able to start work?

Are you able to work overtime, including Saturdays?   Yes   No

What is the minimum salary you would require to consider employment?  

Do you have transportation to and from work?   Yes   No

Are you over 18 years of age?   Yes   No

How much experience do you have for the position you are seeking?     

Have you worked for this company before, if so when?   Yes   No     

If hired, is it your intention to be a permanent employee?   Yes No  

Last day of full-time employment?   

References

Reference 1

Company Name:

Company Address:

Supervisor:    Telephone:

Reference 2

Company Name:

Company Address:

Supervisor:    Telephone:

Reference 3

Company Name:

Company Address:

Supervisor:    Telephone:

Educational Data

School 1

School:

Level Attained:    Field of Study:

School 2

School:

Level Attained:    Field of Study:

School 3

School:

Level Attained:    Field of Study:

Please supply any further information, which would help us evaluate your qualifications for the job you are seeking.   

Acknowledgement:

I understand and acknowledge that false statements on this application may be considered sufficient cause for dismissal if and when discovered. I further understand that acceptance of my application by the Company does not indicate there are currently positions open nor does it, in any way, guarantee that I will be offered a job. I also understand that if I am offered and accept a job, the Company reserves and retains the right to make such changes in the terms and conditions of my employment as the Company determines to be necessary or appropriate.

In consideration of my potential employment, I agree to conform to the rules of the Company and agree that my future employment and compensation can be terminated, with or without cause, at any time, at the option of either the Company or myself. I understand that no representative of the Company other than the President has the authority to enter any agreement regarding my employment contrary to this acknowledgment and that any such agreement by the President shall be in writing.

Applicant's Statement

I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete to the best of my knowledge. I also agree that any falsified information or significant omissions may disqualify me from further consideration for employment and may result in my dismissal if discovered at a later date.


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