North Branch Construction: Employment Application

Name *

Address *

City *

State *

Zip *

Email *

Home Phone

Cell Phone *

Do you have reliable transportation? *

Do you mind traveling up to one hour to and from work without the promise of additional compensation? *

Is there a reason you would not submit to a Pre-Employment Physical and Drug screen prior to the start of employment? *

Rate of Pay Required

Position Seeking *

Do you own a supply of carpentry hand tools? Describe

Can you certify that you are a U.S. Citizen, or an Alien legally authorized to work in the U.S., and furnish proof of either within three days of you date of hire? *

How did you hear about Employment Opportunities with North Branch Construction?

Have you had any injuries that may interfere with your ability to perform the duties associated with commercial construction? *

Please explain any injuries:

Education

High School

High School City, State

Did You Graduate

College

College City, State

Major Course of Study

Degree

Other Education

Details (graduate school, degree(s))

Do you hold current certificates or special licenses related to construction or transportation?

Is their any additional education or training that you have which you feel to be especially relevant?

References

Reference 1 Name *

Reference 1 Phone *

Reference 1 Address

Reference 2 Name *

Reference 2 Phone *

Reference 2 Address

Reference 3 Name *

Reference 3 Phone *

Reference 3 Address

Employment History (Most Recent First)

Employer 1

Employer Name *

Supervisor Name

Address

Date Started *

Date Left *

Job Description

Reason for Leaving *

Employer 2

Employer Name *

Supervisor Name

Address

Date Started *

Date Left *

Job Description

Reason for Leaving *

Employer 3

Employer Name *

Supervisor Name

Address

Date Started *

Date Left *

Job Description

Reason for Leaving *

Please provide us with additional information which may assist us in our evaluation of your qualifications.

Do you have an OSHA certification and verification card, if so, what level?

Other activities, experiences, or accomplishments that may help us to understand your abilities as they apply to the needs of our company (hobbies, sports, etc.)

Attach your resume or cover letter

TO ALL APPLICANTS: Please read this section carefully, and signify your understanding of the contents above in this application by submitting this electronic application.

North Branch Construction, Inc. Will issue individual safety equipment upon hiring (hard hat, eye protection, hearing protection). This equipment is to be utilized by you when appropriate.

North Branch Construction, Inc. Requires you attend a company orientation prior to job assignment.

North Branch Construction, Inc. Upon an offer of Employment requires, as a condition of eligibility for the position in which you have applied, a Pre-Employment Physical and Drug screen and proof of citizenship or Legal Authorization to work in the U.S.

North Branch Construction, Inc. Conducts Criminal and Driving Record background checks on all job applicants.

APPLICANT:

I hereby certify that the facts set forth in the above employment application are try and complete to the best of my knowledge. I understand that falsified statements on this application will be considered sufficient cause for refusal of employment or dismissal. North Branch Construction, Inc. is hereby authorized to investigate my personal history through previous employers and references.

In consideration of my employment, I agree to conform to the rules and regulations of North Branch Construction, Inc., to be presented upon hire, and my employment and compensation are "at will" in that they can be terminated with or without cause, and with or without notice, at any time, at the option of either the company or myself.