LABORERS: Please select positions in which you are skilled. OPERATORS: List equipment that you are skilled in operating: (Include size, weight, horsepower, crane certification, etc.) TRUCK DRIVERS: List types of trucks that you are skilled in operating: (Tandem, tri axle, quad axle, semi, etc.) CERTIFICATION & RELEASE
I certify that I have read and understood the entirety of this employment application.
I agree and understand that the employer or its agents may investigate my background to ascertain any and all information of concern relating to my employment history, whether same is of record or not.
I release the employers and other persons named herein from all liability for any damages on account of furnishing such information.
I also understand that if offered a job, it may be conditioned on the results of a drug test.
I further certify that I am a genuine applicant for employment and this application is being submitted solely for the purpose of seeking employment with the employer and for no other reason.
I agree to furnish such additional information as may be required to complete my employment file.
I also understand that misrepresentation or omission of information or facts may result in my rejection or dismissal. If hired, I agree to abide by all the rules and policies of the employer.
This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. Affirmative Action Voluntary ID Form The following questions are “strictly voluntary and will not affect the status of your application.
The Company is a government contractor. A requirement for Federal or Federally Assisted Construction Contracts is to report the number of handicapped, veteran, male/female and minority/non-minority employees and applicants we have.
SUBMISSION OF THE INFORMATION REQUESTED BELOW IS STRICTLY VOLUNTARY AND WILL NOT AFFECT THE STATUS OF YOUR APPLICATION. What is you race/ethnic origin? White (Not Hispanic Or Latino): A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Black or African American (Not Hispanic Or Latino): A person having origins in any of the black racial groups of Africa. Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin regardless of race. Asian (Not Hispanic or Latino): A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian Subcontinent, including, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, Vietnam. Native American or Pacific Islander (Not Hispanic or Latino): A person having origins in any of the peoples of Hawaii, Guam, Samoa, or other Pacific Islands. American Indian or Alaska Native(Not Hispanic or Latino): A person having origins in any of the original peoples of North and South America (including Central America), and who maintain tribal affiliation or community attachment. Two or More Races (Not Hispanic or Latino): All persons who identify with more than one of the above five races. Please check all categories that apply to you: Discharge Date
(To be completed by all Veterans.)
This information will be used only for Affirmative Action reporting purposes and will not become part of your employment file or application, nor will it be used as a basis for any personnel action. Submission of this information is confidential and is solicited on a strictly voluntary basis. Your decision to provide the information will not result in any adverse treatment.
This company is an Equal Opportunity/Affirmative Action Employer and does not discriminate on the basis or race, color, creed, religion, national origin, ancestry, sex, sexual orientation, disability, marital status, pregnancy or childbirth, use of lawful products, arrest or conviction record, honesty testing, genetic testing or information, military service membership, status with regard to public assistance, local human rights commission activity, gender identity, height, weight, or other basis prohibited by applicable local, State or Federal fair employment laws or regulations.