Employment Application

Join the Urban Construction Company Team!

Urban Construction Company is an Equal Opportunity Employer, committed to providing equal employment opportunities to all applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by applicable law.

Application Information

First Name *

Last Name *

Date *

Street Address *

City *

State *

Zip *

Phone *

Email *

Position applying for:

Do you have a valid drivers' license? *

Are you a citizen of the United States? *

If no, are you authorized to work in the U.S.? *

Have you ever worked for this company before? *

Have you ever been convicted of a felony? *

Do you have any weight lifting restrictions? *

Are you able to perform essential functions of the job which you are applying, with or without reasonable accommodation? *

Education

High School *

Did you graduate?*

Year Graduated

College

Did you graduate?

Year Graduated

Other

Did you graduate?

Year Graduated

References

Please list three professional references:

Full Name *

Relationship *

Company *

Phone *

Address *

Full Name *

Relationship *

Company *

Phone *

Address *

Full Name *

Relationship *

Company *

Phone *

Address *

Previous Employment

Company

Phone

Address

Supervisor

Job Title

Starting Pay

Ending Pay

Responsibilities

Employed From

Employed To

Reason for Leaving

May we contact your previous supervisor for a reference?

Company

Phone

Address

Supervisor

Job Title

Starting Pay

Ending Pay

Responsibilities

Employed From

Employed To

Reason for Leaving

May we contact your previous supervisor for a reference?

Company

Phone

Address

Supervisor

Job Title

Starting Pay

Ending Pay

Responsibilities

Employed From

Employed To

Reason for Leaving

May we contact your previous supervisor for a reference?

Military Service

Branch

From

Rank at Discharge

Type of Discharge

If other than honorable, please explain.

Disclaimer & Signature

"I certify that all information submitted by me on this application is true and complete and I understand that if any false information, omissions, or misrepresentations are discovered, my application may be rejected and if I am employed, my employment may be terminated at any time.

In consideration of my employment, I agree to conform to the company's rules and regulations and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time at either my or the company's option. I also understand and agree that the terms and conditions of my employment may be changed, with our without cause, and with or without notice, at any time by the company. I understand that no comapny representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing."

Signature *

Date *

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