Employee Application | Zwick Construction

Position Applying For

Name *

Other Name(s) Used

Address

Zipcode

Phone Number *

Cell Number

Email *

Division/Location

Start Date:

Willing to Travel?

Yes No

How did you hear about this employment opportunity?

Salary Desired

High School

9 10 11 12

College, Trade or Business

1 2 3 4

Graduate Studies

College/University

High School

Vocational, Business, Other

List Any Professional Designations

Other Special Knowledge, Skills, Certifications, and/or Qualifications

Please list any safety certifications with expiration dates (ex: MSHA, OSHA, First Aid, UITC, etc)

Do you type?

Yes No

Computer Skills (Hardware/Software)

Employer Name (1)

May we contact your supervisor?

Yes No

Start Date

End Date

Starting Salary

Ending Salary

Duties & Responsibilities:

Reason For Leaving

Employer Name (2)

May we contact your supervisor?

Yes No

Start Date

End Date

Starting Salary

Duties & Responsibilities

Reason For Leaving?

Employer Name (3)

May we contact your supervisor?

Yes No

Start Date

End Date

Start Salary

End Salary

Duties & Responsibilities

Reason For Leaving

Employer Name (4)

May we contact your supervisor?

Yes No

Start Date

End Date

Start Salary

End Salary

Duties & Responsibilities

Reason For Leaving

Do you have any relatives employed by the Company and its affiliates?

Yes No

Are you at least 18 years old? *

Yes No

May we contact your current employer for references?

Yes No

If hired, will you be able to work overtime?

Yes No

Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or seals by court? (A yes response does not automatically disqualify your application.) *

Yes No

The above information is true and correct. I understand that, in the event of my employment by the Company, I shall be subject to dismissal if any information that I have given in this application is false or misleading or if I have failed to give any information herein requested, regardless of the time elapsed after discovery. I authorize the Company to inquire into my educational, professional and past employment history references as needed to research my qualifications for this position. I hereby give my consent to any former employer to provide employment-related information about me to the Company and will hold the Company and my former employer harmless from any claim made on the basis that such information about me was provided or that any employment decision was made on the basis of such information. I further authorize the Company to obtain any credit and consumer check. I understand that nothing in this employment application, the granting of an interview or my subsequent employment with the Company is intended to create an employment contract between myself and the Company under which my employment could be terminated only for cause. On the contrary I understand and agree that, if hired, my employment will be terminable at will and may be terminated by me or the Company at any time and for any reason. I understand that no person has any authority to enter into any agreement contrary to the foregoing. If employed, I will be required to provide original documents which verify my identity and right to work in the United States under the Immigration Reform and Control Act (IRCA) of 1986. The document(s) provided will be used for completion of Form I-9. I hereby acknowledge that I have read and agree to the above statements. By entering my name below, I acknowledge that doing so will act as my digital signature and will legally bind me to the above information. *

I Agree

Full Name *

Date