Applicant Information
*
First Name
Last Name
Email
*
Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
*
(###)
###
####
Date Available to Start?
MM
DD
YYYY
What position are you applying for?
Have you ever worked for this company?
Yes
No
Are you legally allowed to work in the United States?*
Yes
No
Name & location of High School:
Did you graduate?
Yes
No
Name & location of College/University:
Degree(s) completed:
Trade or Business school:
Subjects studied?
Special Skills:
Employer #1
Dates of Employment
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Name of Supervisor
Job Title
Job responsibilities
Reason for leaving
May we contact this employer for a reference?
Employer #2
Dates of Employment
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone
(###)
###
####
Name of Supervisor
Job Title
Job responsibilities
Reason for leaving
May we contact this employer for a reference?
Accident Record for Past 5 Years
Include dates, nature of accident, injuries/fatalities
Traffic Convictions & Forfeitures for the Past 5 Years, other than parking violations
Include location, date, charge and penalties
Please read & approve the following statement:
*
Applicant’s Acknowledgement
In the event of my employment with Dalke Construction Co., Inc., I agree to comply with all rules and regulations of Dalke Construction Co., Inc.
Drug Test
I understand that Dalke Construction Co., Inc. reserves the right to require me to submit to test for the presence of drugs in my system prior to employment and at any time during my employment to the extent permitted by law. I understand that should I decline to sign this consent or decline to take the above-described test, my application for employment will be rejected or my employment may be terminated.
Background Investigation
I understand that Dalke Construction Co., Inc.'s consideration of my application may include an investigation of the information I have provided on this application and other relevant information. I understand that should I decline to consent to such an investigation, my application for employment may be rejected or my employment may be terminated.
At Will Employment
If hired, I further agree as follows: my employment and compensation are at will, and I have not been promised employment for any definite period of time. My employment, compensation, benefits, and work duties may be modified or terminated at any time and for any reason whatsoever, with or without good cause or prior notice. I acknowledge that I am free to terminate employment at any time, with or without cause or prior notice. No implied, oral or written agreements contrary to the express language of this agreement are valid unless they are in writing and signed by the president of the company. This agreement takes the place of all prior and contemporaneous agreements, representations, and understandings between me and Dalke Construction Co., Inc.
I hereby certify that all the information that I have provided on this application or any other document filled out in connection with my employment, and in any information that I have provided during any interview is true and correct. I have withheld nothing that would, if disclosed, reflect unfavorably upon my qualifications for this position. I understand that if I am employed and Dalke Construction Co., Inc. determines that any such information is false or incomplete in any regard, my employment may be terminated.
If you have any questions regarding this acknowledgment, please ask a company representative before signing.
I hereby acknowledge that I have read the above statements and understand the same.
Applicant Name
*
First Name
Last Name
Date of Application Submission
*
MM
DD
YYYY
