Job Application – Stanford Construction Company

Application for Employment

Pre-Employment Questionnaire – Equal Opportunity Employer

PERSONAL INFORMATION

Date *

Full Name *

Present Address *

Address Line 1

Address Line 2

City

State

Zip Code

Permanent Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Secondary Phone

Referred by

EMPLOYMENT DESIRED

Position *

Date you can start *

Salary Desired

Are you employed now?

If so, may we inquire of your present employment? *

Are you legally authorized to work in the US? *

Ever applied to this company before?

Where?

When?

EDUCATION HISTORY

Name & Address of High School

How many years attended in High School?

Did you graduate High School? Yes or No

List all Subjects studied in High School

Name & Address of College

How many years attended in College?

Did you graduate College? Yes or No

List all Subjects studied in College

Name & Address of Trade, Business or Correspondence School

How many years attended?

Did you finish? Yes or No

List all Subjects taken

General Information

Subject of Special Study/Research Work

Special Training

Special Skills

U.S. Military or Naval Service

Former Employers

List below last four employers, starting with last one first

Name & Address of Employer (most recent)

Starting & Ending Date

Position & Salary Earned

Reason for Leaving

Name & Address of Employer

Starting & Ending Date

Position & Salary Earned

Reason for Leaving

Name & Address of Employer

Starting & Ending Date

Position & Salary Earned

Reason for Leaving

Name & Address of Employer

Starting & Ending Date

Position & Salary Earned

Reason for Leaving

References

Please provide names of three persons not related to you, whom you have known at least for a year

Name *

Address

Business

Years Known

Name *

Address

Business

Years Known

Name *

Address

Business

Years Known

Authorization

“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal.

I authorize investigations of all statements contained herein and the references and employers listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information.

I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorized company representative.

This waiver does not permit the release of use of disability-related or medical information in a manner prohibited by the Americans with Disabilities and Act (ADA) and other relevant federal and state laws.”

Please check the box and type your name below *

I have read and fully understand the foregoing and seek employment under these conditions

Full Name *

Date *