Personal Information

Have you ever been involuntarily terminated or requested to resign?
YesNo

If you are under the age 18, do you have a work permit?
YesNo

If required for the position, do you have a valid driver’s license?
YesNo

If hired, would you have reliable transportation to and from work?
YesNo

Have you ever worked under a different name?
YesNo

Do you have friends or relatives working for our company?
YesNo

Have you ever been convicted of a felony? (convictions will not necessarily disqualify you for the position)
YesNo

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Employment Interests

Date available:

Would you be willing to work overtime?
YesNo

Type of employment desired:
RegularFull-timePart-timeTemporary

How were you referred to our company?

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Education Information

High School

Did you graduate?
YesNo

College/University

Did you graduate?
YesNo

Post Graduate

Did you graduate?
YesNo

Business/Trade

Did you graduate?
YesNo

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Skills

Do you read blueprints?
YesNo

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Employment History

Job 1

Start Date:

End Date:

May we contact this employer?
YesNo

Job 2

Start Date:

End Date:

May we contact this employer?
YesNo

Job 3

Start Date:

End Date:

May we contact this employer?
YesNo

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Acknowledgement

I authorize any person, school, current employer (except as expressly noted), past employer(s), and organizations named in this application form (and accompanying resume or other documentation, if any) to provide Apex Construction Company, Inc. with relevant information and opinion, personal or otherwise, that may be useful in making a hiring decision. I release all parties from all liability for any damage that may result from furnishing information and opinion to you

In consideration of employment, I agree to obey the rules and standards of Apex Construction Company, Inc. I understand that nothing contained in this application or in the interview process is intended to create a contract between Apex Construction Company, Inc. and myself for either employment or for the providing of any benefits. I agree that my employment is at-will and the terms of employment may be changed with or without cause, with or without notice, including but not limited to termination, demotion, promotion, transfer, compensation, benefits, duties and location of work, at any time, for any reason, at the option of myself or Apex Construction Company. This constitutes my entire agreement with Apex Construction with regard to the length of my employment.

I understand that as a condition of employment I may be required to take a post-offer/pre-employment physical examination that may include an alcohol and drug test. I further understand that at any time during my employment, I may be required to take a physical examination which may include an alcohol and drug test if management reasonably suspects a condition exists that will prevent me from performing my job in a manner that does not endanger my own health or the safety and health of others. I authorize all providers of health care who examine me to disclose to Apex Construction Company or its agents, all medical information revealed during such examinations. I further authorize Apex Construction to disclose such information to any other persons, if at any time my medical condition is put at issue in any proceeding by myself or others. In the event that I have a disability that will affect my ability to take the test, I will so inform Apex Construction so that a reasonable accommodation can be made. Apex Construction reserves the right to require medical documentation concerning the need for accommodation.

I understand that all offers of employment are conditioned upon my providing satisfactory documentary proof that my identity and legal right to live and work in the United States.

I hereby acknowledge that I have read the above statements and understand them. I certify that I, the undersigned applicant have personally completed this application. I declare under penalty of perjury that the facts contained in the application (or any resume or other documents submitted) are true and complete to the best of my knowledge. I understand that any misrepresentation or omissions will disqualify me from further consideration for employment, and will be justification for my dismissal from employment, if discovered at a later date.

Signature (Please sign in the white box below)

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