JOB APLICATION

We are an "At Will," equal opportunity employer and committed to excellence through diversity. We do not discriminate against any race, color, age, sex, religion, disability, medical condition, national origin, or marital status. Offers of employment may be contingent on application passing a job-related physical examination and/ or a skills ability test. This application is not a guaranteed of a position in this company.

First Name *

Middle Name *

Last Name *

Address 1 *

Address 2

City *

State *

Zip Code *

Cell Phone *

Other Phone *

Email Address *

Position Applying For *

Have you been employed by us before? *

Yes

Do you have a valid Driver License? *

Yes

Are you currently employed? *

Yes

May we contact your present employer? *

Yes

Are you 18 years or older? *

Yes

Are you prevented from lawfully becoming employed in the country due to Visa or Immigration status? *

Yes

Are you legally authorized to work in the United States? *

Yes

Have you ever been convicted of a felony? *

Yes

If yes, please explain.

How did you hear about us?

Other

Availability

Employment History

Employer 1

Company Name

Address

Phone

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact? *

Yes

Phone Number

Employer 2

Company Name

Address

Phone

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact? *

Yes

Phone Number

Employer 3

Company Name

Address

Phone

Start Date +

End Date +

Position

Salary

Supervisor/Manager

Reason for Leaving

May we contact? *

Yes

Phone Number

Education

Grammar School

Grade Completed *

Name & Location of School *

High School

Grade Completed *

Name & Location of School *

College

Grade Completed *

Name & Location of School *

Trade or Business

Grade Completed *

Name & Location of School *

References

Reference 1

Name

Title

Email Address

Phone

Reference 2

Name

Title

Email Address

Phone

Reference 3

Name

Title

Email Address

Phone

Additional Skills

List any additional skills that you would like to mention. Do you have any licenses or certifications you like to mention?

I certify that I am eligible to work in the United States and certify that I have given true, accurate and complete information on this form to the best of my knowledge. I authorize investigation on all statements contained in this application. I understand that misinterpresentation, or the omission of any information requested in this application process, may result in dismissal. I authorize all former employers, educatonal institutions, associations, registration and licensing boards, and others to furnish whatever detail is available concerning my qualificatons. Further, I understand and agree that my employment is "At-Will,"which means that I may resign at any time and Salazar Construction Co., Inc. may discharge me at anytime, with or without notice, and with or without cause. Further, I understand and agree that my "At-Will" employment, regardless of the method of payment of my wages or salary, be terminated at any time without cause and without any previous notice. I accept Salazar Construction Co., Inc. right to enter into an Alternative Dispute Resolution and Procedure to resolve employment disputes. Durning my employment with Salazar Construction Co., Inc. and after my employment ends, I agree not to disclose any confidential or proprietary information regarding operating and trade secrets. In the event of employment, I will comply with all company rules and regulations as established from time to time including all company policies. *

you must have at least one item

Please submit a copy of your resume.

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