PLEASE READ CAREFULLY
Note: Fields marked with a * require an answer. Please use "N/A" for "not applicable" if necessary. Applicants may be required to complete and sign a paper application for employment upon interview.
Attach Resume:
*Email:

Applicant Information

*First Name:
*Last Name:
MI:
*Address:
Apartment/Unit #
*City
*State
*Zip
*Phone:
Referred By:
Date Available:
Salary Expected:
I can work:
 Weekends    Evening    Night
U.S. Citizen:
   Yes    No
If not, are you authorized to work in the U.S.?:
 Yes     No
Languages Spoken:
*Have you ever worked for this company?:
 Yes   
 No
If yes, when?:
------ To ------
*Have you ever been convicted of a felony?
(By company policy some misdemeanors may bar employment):
 Yes   
 No
If yes, explain briefly:


Education

High School:  
Address:
Graduate:    Yes     No  
Degree:
College:  
Address:
Graduate:    Yes     No  
Degree:
Other:  
Address:
Graduate:    Yes     No  
Degree:

References

Please list three references not related to you, whom you have known at least one year.
*Name:
*Occupation:
*Company:
*Day Phone Numbers:
*Address:
Name:
Occupation:
Company:
Day Phone Numbers:
Address:
Name:
Occupation:
Company:
Day Phone Numbers:
Address:

Employment History

*Company Name:
*Complete Address
(w/ City, State, Zip):
*Phone:
*Supervisor:
*Job Title:
*Responsibilities:
*Starting Salary:
*Ending Salary:
*Start Date:
(mm/dd/yyyy)
 
*End Date:
(mm/dd/yyyy)
 
*Reason for Leaving:
*May we contact your previous employer for a reference?  Yes    No


Military Service

Start Date:
(mm/dd/yyyy)
End Date:
(mm/dd/yyyy)
Branch:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:

Applicant's Statement

Notification and Agreement

I hereby affirm that all information in this application is true and accurate to the best of my knowledge. I understand that Reid Construction will verify my authorization to work in the United States through E-verify and may need to obtain criminal history record information on applicants for employment. I understand that any misrepresentation or falsification of this record or failure to disclose conviction for a felony or for any offense involving moral turpitude will be considered cause for dismissal.

Signature below verifies you have read the above notice and understand what it means.