Employment Application Kissick

Application for Employment An Equal Opportunity Employer
Please Print
Equal access to programs, services, and employment is available to all persons. Those applicants
requiring reasonable accommodation to the application and/or interview process should notify a
representative of the Human Resources Department.
Position(s) applied for: Date of Application:
Name: Last First Middle
Address:
Street: City: State: Zip Code:
Phone #: Mobile/Cell/Other Phone #: E-mail Address:
Are you legally eligible for employment in this country?  Yes  No

Date available for work: What is your desired salary range?
Type of employment desired:  Full-Time  Part-Time  Temporary

Are you able to meet the attendance requirements of the position?  Yes  No
Have you ever pled “guilty” or “no contest” to, or been convicted of, a crime?  Yes  No
If Yes, please provide date(s) and details:
Answering “Yes” to these questions does not constitute an automatic bar to employment. Factors
such as date of the offense, seriousness and nature of the violation, rehabilitation, and position
applied for will be taken into account.
Driver’s License # (if driving is an essential job function): State:

JOB BRIEF
We are looking for a competent Construction Worker to work on buildings, roads and other
construction projects. You will be the one to help the plans of architects and engineers come to life
and become full and solid structures.
Experience in working on relevant projects and using equipment is essential. You must have
physical strength, endurance and work well with your hands. Being good in collaboration and
following instructions and safety rules are also important.
RESPONSIBILITIES
 Assist tradesmen and machine operators in construction projects

 Erect and break up scaffolding, ramps etc. with attention to safety
 Unload and carry materials at construction sites
 Use equipment to break old forms and structures
 Use explosives to demolish structures according to instructions
 Prepare and apply construction materials to build structures or fill gaps (e.g cement)
 Smooth and level new concrete or other materials
 Clean out site from debris and discarded material
 Place traffic signals where appropriate
REQUIREMENT AND SKILLS
 Proven experience as construction worker

 Experience in operating equipment like trench rammers, drills, pneumatic hammers etc.
 Knowledge of mixing and pouring construction material (concrete, sand, grout etc.)
 Knowledge of basic engineering and construction principles and methods
 Able to work in a team
 Able to read instructions and blueprints when needed
 Very good knowledge of English (spoken and written)
 Excellent balance and eye-hand coordination
Employment History
Provide the following information for your past four (4) employers, assignments, or volunteer
activities, starting with the most recent.
From: To: Employer: Phone #:
Starting Job Title: Final Job Title: Address:
Immediate Supervisor and Title: Summary of Work Performed and Job

Responsibilities:
May we contact for reference?
 Yes  No  Later
Reason for Leaving: Starting Rate/Salary: Final Rate/Salary:
$ per $ per

Responsibilities:
$ per $ per

Responsibilities:
$ per $ per
Skills and Qualifications
Summarize any training, skills, licenses, and/or certificates that may qualify you as being able to
perform job-related functions in the position for which you are applying.
Educational Background (if job related)

Number of
Name and Location Years Did You Graduate? Course of Study
Completed
High School
College Major Degree
Other
References
Number of Years
Name Telephone Known
( )
( )
( )
Applicant Statement
I certify that all information I have provided to apply for and secure work with the employer is true,
complete, and correct.
I understand that any information provided by me that is found to be false, incomplete, or

misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this
application or (ii) immediately discharge me from the employer’s service, whenever it is
discovered.
I expressly authorize, without reservation, the employer, its representatives, employees, or agents
to contact and obtain information from all references (personal and professional), employers,
public agencies, licensing authorities, and educational institutions and to otherwise verify the
accuracy of all information provided by me in this application, resume, or job interview. I hereby
waive any and all rights and claims I may have regarding the employer, its agents, employees, or
representatives for seeking, gathering, and using such information in the employment process and
all other persons, corporations, or organizations for furnishing such information about me.
I understand that the employer does not unlawfully discriminate in employment, and no question
on this application is used for the purpose of limiting or excusing any applicant from consideration
for employment on a basis prohibited by applicable local, state, or federal law.
I understand that this application remains current for only 30 days. At the conclusion of that time, if
I have not heard from the employer and still wish to be considered for employment, it will be
necessary to reapply and fill out a new application.
If I am hired, I understand that I am free to resign at any time, with or without cause and without
prior notice, and the employer reserves the same right to terminate my employment at any time,
with or without cause and without prior notice, except as may be required by law. This application
does not constitute an agreement or contract for employment for any specified period or definite
duration. I understand that no supervisor or representative of the employer is authorized to make
any assurances to the contrary and that no implied, oral, or written agreements contrary to the
foregoing express language are valid unless they are in writing and signed by the employer’s
president.
I also understand that if I am hired I will be required to provide proof of identity and legal authority
to work in the United States and that federal immigration laws require me to complete an I-9 Form
in this regard.
Do not sign until you have read the above applicant statement.
I certify that I have read, fully understand, and accept all terms of the foregoing Applicant
Statement.
Signature of Applicant: Date:
I can work early in the morning  Yes  No

dependable way to get to and from work  Yes  No
What does your ideal schedule look like?

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
When can you NOT work?

Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Are you seeking a full-time or part-time position?

Full-time Part-time
Talk about yourself and experiences

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Describe any special skills or training that you think might be useful
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Employment Application Kissick

Uploaded by

Copyright:

Available Formats

Employment Application Kissick

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Employment Application Kissick

Uploaded by

Copyright:

Available Formats

Application for Employment An Equal Opportunity Employer

Name: Last First Middle

Phone #: Mobile/Cell/Other Phone #: E-mail Address:

Are you legally eligible for employment in this country?  Yes  No

Type of employment desired:  Full-Time  Part-Time  Temporary

Driver’s License # (if driving is an essential job function): State:

 Assist tradesmen and machine operators in construction projects

REQUIREMENT AND SKILLS

 Proven experience as construction worker

From: To: Employer: Phone #:

Starting Job Title: Final Job Title: Address:

Immediate Supervisor and Title: Summary of Work Performed and Job

Starting Job Title: Final Job Title: Address:

Immediate Supervisor and Title: Summary of Work Performed and Job

Starting Job Title: Final Job Title: Address:

Immediate Supervisor and Title: Summary of Work Performed and Job

Educational Background (if job related)

College Major Degree

I understand that any information provided by me that is found to be false, incomplete, or

Signature of Applicant: Date:

I can work early in the morning  Yes  No

What does your ideal schedule look like?

When can you NOT work?

Are you seeking a full-time or part-time position?

Talk about yourself and experiences

You might also like