Apply for Employment

INSTRUCTIONS: Complete all necessary information. You may be asked to provide additional information on another form. This application will be kept on file. It is to your advantage to periodically check to keep it current and active.

* indicates a required field.

General

Name*

Phone*

Address*

City*

State*

ZIP*

Position

Position Applied For

Expected Salary

Would You Accept Full-time Work?

Would You Accept Part-time Work?

On What Date Would You Be Available For Work?

Have You Ever Been Employed Here Before?

If So, List The Dates:

Skills

Special Training Or Skills: (languages, Machine Operation, Etc.) That Would Benefit In The Job For Which You Are Applying:

Are You Legally Eligible For Employment In The United States? (If Yes, Proof Is Required)

U.S. Citizen

Employment Experience

Employer 1

Employer:

Address:

Phone:

Job title:

Supervisor:

Employed from:

Employed to:

Hourly Rate / salary starting:

Hourly Rate / salary final:

Work Performed:

Reason for leaving:

Can this Employer be contacted?

Employer 2

Employer:

Address:

Phone:

Job title:

Supervisor:

Employed from:

Employed to:

Hourly Rate / salary starting:

Hourly Rate / salary final:

Work Performed:

Reason for leaving:

Can this Employer be contacted?

Employer 3

Employer:

Address:

Phone:

Job title:

Supervisor:

Employed from:

Employed to:

Hourly Rate / salary starting:

Hourly Rate / salary final:

Work Performed:

Reason for leaving:

Can this Employer be contacted?

Employer 4

Employer:

Address:

Phone:

Job title:

Supervisor:

Employed from:

Employed to:

Hourly Rate / salary starting:

Hourly Rate / salary final:

Work Performed:

Reason for leaving:

Can this Employer be contacted?

Educational Background

High School

Name of School:

Location:

Course of Study:

Did you graduate?

Diploma or GED:

Date:

College

Name of School:

Location:

Course of Study:

Did you graduate?

Degree or Diploma:

Date:

Vocational Training - Other

Name of School:

Location:

Course of Study:

Did you graduate?

Degree or Diploma:

Date:

Continuing Education: Enter any educational experience that has not been covered previously in this application)

Please read the following statements carefully before signing this application. Only those applications that are signed and dated are considered valid.

I certify that all information provided in this application is true and complete. I understand that any false information or omission may disqualify me from further consideration for employment, and if I am employed, my employment may be terminated at any time.

Additionally, I understand that as a condition of employment I am required to successfully complete a post-offer, pre-employment drug test pursuant to CRC Construction, Inc. drug testing policy.

I understand that this application of subsequent employment does not create a contract of employment nor guarantee employment for any definite period of time. If employed, I understand that I have been hired at the will of the employer and my employment may be terminated by either party at any time for any reason not prohibited by law. I understand that no one other than the company president has authority to enter into any employment agreements to the contrary.

By clicking "Agree and Submit" below you signify that you have read, understand, and consent to these statements.