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Employment Application
Personal Information
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Name
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Last
Address
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City
State
Zip Code
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Primary Phone Number
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Secondary Phone Number
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Email
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Attachments
Cover Letter
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Employment Desired
When are you available to begin?
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Type of Employment Desired
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Full-Time
Part-Time
Seasonal
Hourly Rate/Salary Desired
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Are you currently employed?
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Yes
No
If so may we contact your present employer?
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Yes
No
If presently employed, why are you considering leaving?
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Personal Information
Are you legally eligible to be employed in the United States? (Proof of identity and eligibility will be required upon employment)
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Yes
No
Are you at least 18 years or older? (If no, you may be required to provide authorization to work)
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Yes
No
Have you ever been convicted of a felony or a misdemeanor which resulted in imprisonment within the last seven years? (A conviction will not necessarily result in the denial of employment)
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Yes
No
If Yes, please explain:
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Have you ever worked for this Company before?
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Yes
No
If Yes, please provide details (Where/When/Job Title)
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Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?
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Yes
No
If no, please explain:
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References
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Last
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Last
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First
Last
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First
Last
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Last
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Employment History
Employer 1
Dates Employed
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From
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To
Employer Name & Address
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Business Name
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Business Address
Employer Phone
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Job Title
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Supervisor Name & Title
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Name
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Title
May we Contact?
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Yes
No
Responsibilities
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Reason for Leaving
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Salary/Hourly Rate
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Start
*
End
Employer 2
Dates Employed
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Start
*
End
Employer Name & Address
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Business Name
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Business Address
Employer Phone
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Job Title
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Supervisor Name & Title
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Name
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Title
May we Contact?
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Yes
No
Responsibilities
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Reason for Leaving
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Salary/Hourly Rate
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Start
*
End
The facts set forth in this application and any supplemental information is true and complete to the best of my knowledge. I understand that, if employed, falsified statements on this application shall be considered sufficient cause for immediate discharge. I hereby authorize investigation of all statements contained herein and employers listed above to give you any and all information concerning my employment, and any pertinent information they may have, and release all parties from all liability for any damage that may result from furnishing same.
I understand and agree to Silva Built Construction, Inc. proceeding with a criminal background investigation. I also understand that upon employment, I may be subject to random drug test.
I understand that neither the completion of this application nor any other part of my consideration for employment establishes any obligation for the company to hire me. If I am hired, I understand that either the company or I can terminate my employment at any time and for any reason, with or without cause and without prior notice. I understand that no representative of the company has the authority to make any assurance to the contrary.
I understand that I am required to abide by all rules and regulations of the company.
Signature (Type Name)
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Date
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We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.
The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.
Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
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Male
Female
I Choose Not To Respond
Race/Ethnicity:
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American Indian or Alaska Native (Not Hispanic or Latino)
Black or African American (Not Hispanic or Latino)
Hispanic or Latino
Asian (Not Hispanic or Latino)
White (Not Hispanic or Latino)
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
Two or More Races (Not Hispanic or Latino)
I Choose Not to Respond
Please be sure to complete all sections with a red asterisks or the application will not be submitted and/or accepted.
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