First Name:
Last Name:
Email Address:
Phone Number
Address (Street, Apt)
City
State
How long at current address?
Are you authorized to work in the U.S?
Yes
N
Have you even been convicted of crime?
Yes
No
If you have been convicted of a crime, please provide an explanation.
Position Desired
Dump Truck Drive
Superintendent
Operators
Salary Desired
How many hours can you work weekly?
Start Date Available
High School
Did you graduate from HS?
Yes
No
Technical School
Course of Study
Yes
No
College/University
Did you graduate from College/University?
Yes
No
Course of Study?
OSHA 10 Certified?
Yes
No
OSHA 30 Certifed
Yes
No
Equipment Certifications
Title
Company
Phone
Address
Name of Supervisor?
Start Date
End Date
Reason for Leaving?
List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked for this company.
I hereby certify that the Application for Employment was completed by myself and that the facts set forth therein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application. I understand that if employed, falsified statements, misrepresentation or omission of facts called for may result in dismissal. I hereby give Williams Construction permission to contact, via e-mail or phone, schools, previous and current employers (unless otherwise indicated), and references listed on Application of Employment. In addition, I release and hold harmless any person, firm or entity that discloses matters in accordance with this authorization, as well as from liability that might otherwise result from the request for use of and/or disclosure of any or all of the foregoing information. I hereby authorize Williams Construction to perform a driving record and background check in accordance with Williams Construction policies. I understand that Williams Construction has a no-tolerance drug policy and reserves the right to pre-employment testing and that successful passing of such testing is a condition of my employment. I further understand that my employment with Williams Construction shall be probationary for a period of ninety (90) days, and after successfully completing my probationary period, my employment relation with Williams Construction is terminable “at will” for any reason by either party.
By selecting the checkbox below, I acknowledge and agree that my action constitutes an electronic signature as defined under the Electronic Signatures in Global and National Commerce Act (E-SIGN) and the Uniform Electronic Transactions Act (UETA) and is legally binding in the same manner as my handwritten signature. I understand that this electronic signature is as legally valid and enforceable as a manual signature.
