Tennoca Construction Company

Application For Employment 

(* all data boxes allow for additional text.)

Date   Social Security#

Personal Information

Last Name   First Name   Middle

Address

Phone number(s)

Are you legally eligible to work in the United States?  YES  NO

Are you 18 years or older?  YES  NO

Position(s) applying for:

Project Manager/Estimator

Superintendent

Grading Foreman

Pipe Foreman

Equipment Operator

Truck Driver

Skilled Laborer

Laborer

Other

Referred By 

Ever applied with this company before?YES  NO   If Yes, When?

Would you prefer to work    Full-time Part Time  Temporary    Date Available

Are you employed now?  YES  NO   Salary Desired

Does your present employer know of your plans to change employment? YES  NO

May we contact the employers listed below?  YES  NO  If no, Indicate which one(s) you do not wish us to contact:

Please list any additional information that related to your ability to perform the job for which you have applied,

such as special training, machine operations, hobbies, languages, etc.

U.S. Armed Forces YES  NO  If yes, Branch   Rank at discharge

Have you been convicted of a felony within the past 7 years? YES  NO If yes, please explain:

(Conviction will not necessarily disqualify applicant for employment.)

In case of emergency, notify:

Name   Phone(s)

Address

Education

Former Employers (List below last three employers, starting with last one first)     

References:  (Give below the names of three persons not related to you, whom you have known at least one year.)

I authorize investigation of all statements contained in this application.  I understand that misrepresentation or omission of facts called for is cause for dismissal.  Further, I understand and agree that my employment is for no definite period and may, regardless of the date of payment of my wages and salary, be terminated at any time. (The entering of a date and your name below validates your application & will be considered a legal signature.)

Signature   Date