General Job Application

Read This Before Completing Application.

This Company is an equal opportunity employer. All statements made by applicants for employment on this application form will be carefully checked for accuracy. We offer employment opportunities to all persons without regard to race, color, religion, age, sex, national origin, or handicap/disability. The use of this form does not mean that there are positions open and does not obligate this Company in any way. Answer all questions.

Personal Information

Full Name

Phone Number

Date

Present Address

Previous Address

Employment Desired

Position

Date you can start

Salary Desired

Referred by:

Are you employed now?

If so, may we inquire of your present employer?

Have you ever applied for a job at this company?

If yes, when?

Have you worked here before?

If yes, when?

Do you have transportation available to and from work?

Do you have a legal right to work in the United States?

Do you certify that you are at least 18 years old?

If you are under 18, employment is subject to verification that you are of minimum legal age.

Education

High School/GED

Name & Location

Course of Study

Years Attended

Degree

College

Name & Location

Course of Study

Years Attended

Degree

Postgraduate

Name & Location

Course of Study

Years Attended

Degree

Employment History

List last four (4) employers starting with the most recent.

Present (or most recent) Employer

Employer

Phone

Address

Job Title or Position

Employment Dates (from - to)

Job Duties

Salary

Immediate Supervisor

May we contact?

Reason for Leaving

Previous Employer

Employer

Phone

Address

Job Title or Position

Employment Dates (from - to)

Job Duties

Salary

Immediate Supervisor

May we contact?

Reason for Leaving

Previous Employer

Employer

Phone

Address

Job Title or Position

Employment Dates (from - to)

Job Duties

Salary

Immediate Supervisor

May we contact?

Reason for Leaving

Previous Employer

Employer

Phone

Address

Job Title or Position

Employment Dates (from - to)

Job Duties

Salary

Immediate Supervisor

May we contact?

Reason for Leaving

Have you ever been convicted of a felony?

If yes, please explain:

Other Experience or Job-Related Skills

Tell us why you believe you can be an asset to our Company:

Do you have a valid Drivers License?

References

Give the names of people not related to you, whom you have known at least one year.

1st Reference

Name

Occupation

Phone

Years Acquainted

2nd Reference

Name

Occupation

Phone

Years Acquainted

3rd Reference

Name

Occupation

Phone

Years Acquainted

To Be Read and Signed By Applicant

I understand that any offer of employment with ER Lewis Construction Co, Inc. is contingent upon the satisfactory results of a Background Check and successful completion of a pre-employment drug screen to be conducted at my expense and at a location to be designated by ER Lewis Construction Co, Inc.

I certify that all the information submitted by me on this application is true and complete, and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected, and if I am employed, my employment may be terminated at any time. In consideration with employment, I agree to conform to the company’s rules and regulations, and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company’s option. I also understand that, if hired, my employment will be at will and agree that the terms and conditions of employment may be changed, with or without cause, and with or without notice, at any time by the company. I understand that no company representative other than its president, and then only when in writing and signed by the president, has an authority to enter into any agreement for employment for a specific period of time, or to make any agreement contrary to the foregoing.

Date

Signature