240 Levee Drive - Manhattan, KS 66502
(785) 776-3530 | firstname.lastname@example.org
"Drug Free Workplace"
APPLETECH DESIGN & CONSTRUCTION, INC. IS AN EQUAL OPPORTUNITY EMPLOYER. We are committed to the policy of equal employment opportunity in recruitment, hiring, career advancement and all other personnel practices. Your job-related experience and other qualifications will be considered without discrimination on grounds of race, sex, disability, religion, age, color, national origin or ancestry, or other factors which cannot be lawfully used as basis for an employment decision. All other information provided in this application will be treated confidentially, and will be used only to help assure the best use of your abilities if you are employed by us.
Other Names Ever Used
Are you over age 18?
Have you ever been convicted of a felony within the past five years? (Include military convictions)
If yes, please explain where, when and reason
If employed, can you provide proof of U.S. citizenship, immigration, or visa status which permits you to be employed in the U.S.?
Do you have reliable transportation?
Is your driver's license currently suspended or revoked?
If so, state reason for suspension.
Position(s) applying for
Date available to begin work
Are you applying for full time or part time employment?
What hourly rate do you expect to get paid?
Check the position which you feel most qualified for
Foreman/Lead CarpenterCarpenterLaborerOffice/ClericalOffice Manager
How long do you anticipate being available for employment by Appletech?
Have you ever been responsible for directing or supervising other employees? If so, please explain.
What is the highest grade level you have completed in school?
High School Diploma or G.E.D.?
Give the following information about the schools you have attended
List or describe any school or specialized training that relate to the position for which you are applying
Beginning with your present job (or immediate past job if unemployed) list your employment for the last 5 years
Employment History #1
Type of Work
Rate of Pay
Supervisor's name and title
Reason for Leaving
Employment History #2
Employment History #3
Employment History #4
I hereby certify that all the statements contained here are true to the best of my knowledge and I understand that omissions or misstatements may be used for rejection of this application, removal of my name from eligibility, or discharge from service. I authorize investigation of all statements contained in this application as may be necessary in arriving at an employment decision. I understand that, if hired, my employment will be "at-will" and could be terminated at any time by either party, with or without cause and with or without notice. I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future. If employed by Appletech Design & Construction, Inc., I agree to abide by its rules and regulations. I understand that Appletech Design & Construction has a drug and alcohol policy that provides for pre-employment testing as well as testing after being employed. I understand that consent to and compliance with the policy is a condition of my employment and that continued employment is based on the successful passing of testing under the policy.
I have read and understand the above information.
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