James Bros, Excavating, Inc.

APPLICATION FOR EMPLOYMENT

PERSONAL


Last Name First Middle



Date

Street Address



Home Phone

City, State Zip



Business Phone

Have you ever applied for employment with us?

Yes No If Yes: Month and Year __________________


Social Security Number


Previous Address:



Years at present address: ______

Years at previous address: ______

Position Desired


Pay Expected

Are you available for full-time work:

Yes No If not, what hours can you work?:______________


Can you work overtime?

Yes No

Are you legally eligible for employment in the United States?

Yes No

When can you start work?

Other special training or skills or licenses (heavy machine, CDL, etc.)


Have you ever been Bonded Yes No

If Yes: Name of employer:

Are you over 18 years old

Yes No

Martial Status: Single Married Divorced

 Separated Widowed Engaged

Number of Dependents, including yourself:

Have you been convicted of a crime in the past ten years, excluding misdemeanors and summary offenses:

 Yes No If Yes, describe in full:


Military: Did you serve in the U.S. Armed Forces? Yes No

If Yes: Name Branch and Years of service:


State names of relatives and friends working for us, other than your spouse.


EDUCATION

School

Name and Location of School

No. of Years Completed

Did you Graduate

College


Trade School


High School




EMPLOYMENT HISTORY


Company Name


Telephone

( )

Address


Employed – (State month and year)

From To

Name of Supervisor


Weekly Pay

Start Last

Job Title and Describe Your Work



Reason for leaving



Company Name


Telephone

( )

Address


Employed – (State month and year)

From To

Name of Supervisor


Weekly Pay

Start Last

Job Title and Describe Your Work



Reason for leaving

Company Name


Telephone

( )

Address


Employed – (State month and year)

From To

Name of Supervisor


Weekly Pay

Start Last

Job Title and Describe Your Work



Reason for leaving

Company Name


Telephone

( )

Address


Employed – (State month and year)

From To

Name of Supervisor


Weekly Pay

Start Last

Job Title and Describe Your Work



Reason for leaving




The information that is provided in this Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in my dismissal.

I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.

If you decide to engage an investigative consumer-reporting agency to report on my credit and personal history, I authorize you to do so. If a report is obtained you must provide, at my request, the name of the agency so I may obtain from them the nature and substance of the information contained in the report.


___________________________ _____________________________________________________

Date Signature


James-Bros-Employee-Application.doc/home/user/workspace/james-bros-site/assets/downloads/James-Bros-Employee-Application.doc