Crossroad Construction, Inc. job application form

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>>Crossroad Construction, Inc. is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, creed, religion, national origin, sex, sexual orientation, gender identity, disability, age, marital status, familial status, membership or activity in a local human rights commission, or status in regard to public assistance, use or enjoyment of lawful consumable products during nonworking hours, or any other characteristic protected by law.<<

Document Retention Policy: This application will be kept on file for one year after submission.

Name *

First and last name

Address including City, State, Zip *

Email *

Phone number *

Are you at least 18 years old? *

Yes

Are you legally authorized to work in the U.S.? (If hired, you will be required to provide proof of work authorization.)

Yes

Clear selection

Which position(s) are you interested in? *

Carpenter Apprentice, already in the union

Carpenter Apprentice, need to be sponsored into the union

Journeyman Carpenter, already in the union

Journeyman Carpenter, need to be sponsored into the union

Other:

Will you be physically able to perform the essential job functions for the position you are applying for with or without reasonable accommodations? *

Yes

Highest level of education completed *

High School

Vocational/Technical

College/University

Other:

Work experience, list last 3 employers & dates of employment. *

May we contact your current employer for a reference? If yes, provide name & phone number. *

What is your current employment status *

Employed

Self-Employed

Unemployed

Student

Other:

Availability to start work *

YYYY

Veteran Status *

Not a veteran

Service disabled veteran

Veteran

Pertinent Training to job, completed, check all that apply *

Mobile Elevating Work Platforms (MEWP) - required per OSHA to meet ANSI A92.22 standards

OSHA 10

OSHA 30

No pertinent training

Other:

Required

Voluntary Applicant Survey Form

Please read carefully:
As an affirmative action employer, we must monitor our equal employment opportunity and affirmative action program, and report the results to government agencies. Please help us gather this information by identifying your sex, race or ethnicity, and disability status on this form.
Providing this information is completely voluntary. If you choose not to provide some or all of this information, you will not be subject to any negative or adverse treatment.
The information you provide will be used only to monitor our compliance with equal opportunity laws and regulations and for no other purpose.* When we receive this form, we will immediately place it in a confidential file separate from your application. If you wish, you may mail this form to us in an envelope separate from the one that contains your application.

Race/Ethnicity - select one or more *

American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment.

Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Black or African American: A person having origins in any of the black racial groups of Africa.

Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Do not wish to answer

Required

Disability - Are you a person with a disability? *

Yes

Do not wish to answer

Sex/Gender - select one *

Female

Male

Non-Binary/Transgender/Gender Non-Conforming

Do not wish to answer

How did you hear about Crossroad Construction, Inc.? *

Please Read Carefully Before Signing This Form

1. All information contained in this application is true and correct to the best of my knowledge and belief. I understand that misrepresentations or omissions of any kind may result in denial of employment or be cause for subsequent dismissal if I am hired.
2. I authorize the company to investigate my responses on this application and contact any or all of my former employers or any individuals familiar with my employment background for the purpose of verifying any information I have provided and/or for the purpose of obtaining any information about my employment. I voluntarily and knowingly fully release and hold harmless any person or organization that provides information pertaining to me or my employment.
3. I understand that upon receiving a job offer, a physical examination and drug screening may be required.
4. Regardless of whether or not I become employed by the company, I recognize this application is not and should not be considered a contract of employment. I understand that employment at the company is on an at-will basis and that my employment may be terminated with or without cause, and without notice, at any time, at my option or the company’s, unless specifically provided otherwise in a written employment contract. I further understand that no company employee or representative has the authority to enter into a contract regarding duration or terms and conditions of employment other than an officer or official of the company, and then only by means of a signed, written document.

Signed by (type name) *

Thank you for your interest in Crossroad Construction, Inc.

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