Employment Application

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.



Commercial Concrete Construction
In East Texas

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