Careers

Date

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Email

Applying for What Position?

Please note below the experience you have for this position:

Employment Type Desired:

Full-Time
Part-Time
Temporary
Seasonal

Are you legally eligible for employment in the United States?

Yes
No

Date available for work:

Desired Wage Range:*

(Required)

Are you able to meet the attendance requirements of the position?

Yes
No

Are you able to meet the physical requirements of the position?

Yes
No

Have you worked for Semmes & Co. Builders, Inc. before?

Yes
No

If so, when?

If referred, who where you referred by?

If "yes", please explain:

Answering "yes" to this question does not constitute an automatic bar to employment. Factors, such as date of offense, the seriousness and nature of the violation, any rehabilitation completed and the position applied for will be taken into account.

Have you been in the military?

Yes
No

If "yes", what branch and rank?

Past Work Experience

(Please begin with the most recent)

1. Company | Phone | Supervisor

1. Job Responsibilities | Reason for Leaving

2. Company | Phone | Supervisor

2. Job Responsibilities | Reason for Leaving

3. Company | Phone | Supervisor

3. Job Responsibilities | Reason for Leaving

Skills & Interests

Job Skills:

Personal Interests:

Areas of interest you would like to develop:

(Either personally or professionally)

Educational Background

(Begin with most recent)

1. School & Location

1. Degree or Diploma

1. Number of years completed

2. School & Location

2. Degree or Diploma

2. Number of years completed

3. School & Location

3. Degree or Diploma

3. Number of years completed

References

Please list names & numbers of 3 business/work references. If not applicable, list 3 school or personal references. Don't list relatives, please.

1. Name | Phone | Number of Years Known

2. Name | Phone | Number of Years Known

3. Name | Phone | Number of Years Known

In Case of an Emergency

Emergency Contact | Phone

Application Statement

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect will be sufficient cause to a) cancel further consideration of this application, or b) immediately discharge me from the employer's service whenever it is discovered. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. I also understand that if I am hired, I will be required to provided proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard. Offers of employment are subject to passing a physical exam and a drug screen. Do NOT sign below until you have read the above applicant statement. I certify that I have read, fully understand and accept all the terms in the forgoing applicant statement.

Signature of Applicant

By typing or signing my name I certify that I have read the above application statement.

Date

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