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Austin Tyler Construction Job Application

What is your first name?

What is your last name?

Date of birth

What is your phone number?

What is your address?

City

Zip

What is your desired job position?

What date can you start?

Are you employed now?

Are you employed now?

If YES may we inquire of your present employer?

If YES may we inquire of your present employer?

Have you ever been convicted of, pleaded guilty to, or pleaded no contest to a felony?

Have you ever been convicted of, pleaded guilty to, or pleaded no contest to a felony?

FORMER EMPLOYERS

1)

Name & Address

Phone Number

Position

Salary

Month/Year Started

Ended

Reason for leaving

2)

Name & Address

Phone Number

Position

Salary

Month/Year Started

Ended

Reason for leaving

REFERENCES

(Name 1 person not related to you whom you have known for at least a year)

Name

Occupation

Phone Number

Years Known

Are you able to perform the essential functions of this position, with or without reasonable accommodation

Are you able to perform the essential functions of this position, with or without reasonable accommodation
I certify that the information provided in this application is true, complete, and accurate to the best of my knowledge. I understand that any false, misleading, or omitted information may result in disqualification from consideration or, if employed, termination of employment.

I authorize the Company to verify the information contained in this application and to contact the references and prior employers listed, to the extent permitted by law, to obtain information regarding my employment history, qualifications, and work performance. I release all persons and organizations providing such information, as well as the Company, from any liability arising from the lawful furnishing or use of such information.

I understand and agree that, if employed, my employment will be at-will. This means that either the Company or I may terminate the employment relationship at any time, with or without cause or notice, subject to applicable law. I further understand that no oral or written statements, policies, or representations shall be considered a contract of employment, and that only a written agreement signed by an authorized representative of the Company can alter the at-will nature of the employment relationship.
Signature

Todays Date