Gordon Contracting - Job Application

Name*

First Middle Last

Address*

Street Address Address Line 2 City State ZIP Code

Email Address*

Phone*

Are you under the age of 18?*

Yes
No

If "YES," can you provide proof of your eligibility to work?*

Yes
No

Are you currently authorized to work in the United States?*

Yes
No

Position Applied For:

Desired Weekly Income:

(Be as specific as possible)

How many hours can you work weekly?*

Please list the days/hours you are available to work:*

(Be as specific as possible)

Employment Desired:*

FULL-TIME ONLY
PART-TIME ONLY
TEMPORARY/CONTRACT

When are you available to start work?*

Education History:*

Type Of School	Name Of School	Location	# of Years Completed	Major & Degree

(Please list your former education starting with "High School")

Have you ever enlisted in the armed forces?*

Yes
No

Are you actively in the armed forces?*

Yes
No

Specialty:*

Date Entered:*

Date Discharged:*

Discharge Reason:*

Work Experience:

(Please list your work experience from the beginning with your MOST RECENT job held. If you were self-employed, give firm name. ATTACH ADDITIONAL SHEETS IF NECESSARY)

Name of Current Employer:*

Address*

Street Address City State ZIP Code

Phone*

Name of Former Employer*

Address*

Street Address City State ZIP Code

Phone

Duration of Employment AND Reason For Leaving:

(Please Be Specific)

Name of Former Employer:*

Address*

Street Address City State ZIP Code

Phone*

Duration of Employment AND Reason For Leaving:

(Please Be Specific)

Name of Former Employer:*

Address*

Street Address City State ZIP Code

Phone

Duration of Employment AND Reason For Leaving:

(Please Be Specific)

May we contact your current employer?*

Yes
No

Did you complete this application yourself?*

Yes
No

If not, who did?

After reviewing the attached job description, please indicate if you are able to perform the essential functions of the job for which you have applied, with or without a reasonable accomidation?*

Yes
No

PLEASE READ CAREFULLY*

I I have read and understand the text below

I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered. If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law. We are an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, gender, sexual orientation, national origin, citizenship, age, height, weight, or disability. We assure you that your opportunity for employment with us depends solely on your qualifications. Thank you for completing this application form and for your interest in our business.

Gordon Contracting – Job Application

Application

Work Experience: