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Name
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Phone
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Address
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How Long At This Address?
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Date Available
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Social Security Number
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Desired Salary
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Are You A Citizen of the United States?
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If No, Are you Authorized to Work in the U.S.?
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Have you ever worked for this company?
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If So, When?
Do you have a valid driver’s license?
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Violations or Accidents?
Driver’s license #
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Type
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Expiration Date
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What is your means of transportation to work?
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Position Applying For
Education
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High School Address
Did You Graduate Highschool?
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High School Degree
College
College Address
Did You Graduate College?
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College Degree
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Did You Graduate? (Other)
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Degree (Other)
References
Please list three references other than relatives or previous employers
Name
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Position
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Company
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Phone
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Address
Relation
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Name
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Position
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Company
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Phone
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Address
Relation
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Name
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Position
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Company
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Phone
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Address
Relation
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Previous Employment
Company
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Phone
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Address
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Supervisor
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Job Title
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May we contact your previous supervisor for a reference?
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Starting Salary
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Ending Salary
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Start Date
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End Date
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Responsibilities
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Reason for Leaving (Be Specific)
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Previous Employment #2
Company
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Phone
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Address
Address Line 1
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Supervisor
*
Job Title
May we contact your previous supervisor for a reference?
*
Yes
No
Starting Salary
*
Ending Salary
*
Start Date
*
End Date
*
Responsibilities
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Reason for Leaving (Be Specific)
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Previous Employment #3
Company
*
Phone
*
Address
*
Address Line 1
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Supervisor
*
Job Title
*
May we contact your previous supervisor for a reference?
*
Yes
No
Starting Salary
*
Ending Salary
*
Start Date
*
End Date
*
Responsibilities
*
Reason for Leaving (Be Specific)
*
Military Experience
or (Education) Previous
Branch
Rank at Discharge
Start Date
End Date
Are You Now a Member of the National Guard?
Yes
No
Specialty
Date Entered
Discharge Date
Additional Information/File Uploads
Additional Information
Upload Resume (Optional)
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Upload Cover Letter (Optional)
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Please Read Carefully - Application Form Waiver
In exchange for the consideration of my job application by GRAYSTONE CONSTRUCTION CO., INC. (“hereinafter called the Company”), I agree that:
Neither the acceptance of this application nor the subsequent entry into any type of employment relationship, either in the position applied for or any other position, and regardless of the contents of employee handbooks, personal manuals, benefit plans, policy statements, and the like as they may exist from time to time, or other Company practices, shall serve to create an actual or implied contract of employment, or to confer any right to remain an employee of GRAYSTONE CONSTRUCTION CO., INC., or otherwise to change in any respect the employment-at-will relationship between it and the undersigned, and that relationship cannot be altered except by a written instrument signed by the President/General Manager of the Company. Both the undersigned and GRAYSTONE CONSTRUCTION CO., INC. may end the employment relationship at any time, without specified notice or reason. If employed, I understand that the Company may unilaterally change or revise their benefits, policies and procedures and such changes may include reduction in benefits.
I authorize investigation of all statement contained in this application. I understand that the misrepresentation or omission of facts called for is cause for dismissal at any time without previous notice. I hereby give the Company permission to contact schools, previous employers (unless otherwise indicated), references, and others, and hereby release the Company from any liability as a result of such contract.
I understand that, in connection with routine processing of your employment application, the Company may request from a consumer reporting agency an investigative consumer report including information as to my credit records, character, general reputation, personal characteristics, and mode of living. Upon written request from me, the Company will provide me with additional information concerning the nature and scope of any such report requested by it, as required by the Fair Credit Reporting Act.
I further understand that my employment with the Company shall be probationary for a period of sixty (60) days, and further that at any time during the probationary period or thereafter, my employment relation with the Company is terminal at will for any reason by either party.
Disclaimer & Signature
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.
Signature
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