Pospiech Contracting Inc. Employment Application
We consider applicants for all positions without regard to race, color, religion, creed, gender, national origin, age, disability, marital or veteran status, sexual orientation, or any other legally protected status.
Pospiech Contracting
Last Name: *
First Name: *
Middle Name:
Address: *
Phone: *
Email: *
Driver's License Number and State *
Social Security Number *
Date of Birth *
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Position(s) Applied For: *
Please select all that apply.
Required
How did you learn about us? *
If you are under 18 years of age, can you provide required proof of your eligibility to work? *
Have you ever filed an application with us before? *
If yes, please give the date below
Date
MM
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YYYY
Have you ever been employed with us before? *
If yes, please give the date below
Date
MM
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DD
/
YYYY
Are you currently employed? *
May we contact your present employer? *
Are you prevented from lawfully becoming employed in this country because of visa or immigration status? *
Proof of citizenship or immigration status will be required upon employment.
On what date would you be available for work? *
MM
/
DD
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YYYY
Are you available to work: *
Please select all the apply.
Required
Are you current on "lay-off" status and subject to recall? *
Can you travel if a job requires it? *
Have you been convicted of a felony within the last 7 years? *
Conviction will not necessarily disqualify an applicant from employment.
If yes, please explain.
Education
For each entry please provide the name and address of the school, your course of study, years completed, and if you received a diploma and/or degree.
Elementary School
High School
Undergraduate College
Graduate Professional
Other
Please Specify
Describe any construction equipment operation knowledge, specialized training, apprenticeship, or skills you have.
State any additional information you feel may be helpful to us in considering your application.
Information should pertain to the requirements of the job(s) for which you are applying.
References *
Please provide at least one reference including their name, address, and best number to reach them
Employment Experience
List three most recent jobs, with the most recent being first.
Employer 1 *
Address *
Phone Number *
Supervisor *
Date Employed From/To *
Job Title *
Work Performed *
Salary *
Reason for Leaving *
Employer 2 *
Address *
Phone Number *
Supervisor *
Date Employed From/To *
Job Title *
Work Performed *
Salary *
Reason for Leaving *
Employer 3 *
Address *
Phone Number *
Supervisor *
Date Employed From/To *
Job Title *
Work Performed *
Salary *
Reason for Leaving *
In Case of Emergency
Please provide the name, address, and phone number of your emergency contact as well as your relationship to them. *
Do you own an automobile? *
Are there any hours, shifts, and/or days you will not work? *
If yes, please explain below.
Explanation
Do you have any friends or relatives that work here? *
If yes, please provide details below.
Details for friends/realtives
Please provide their full name and your relationship to them.
Spouse details (if applicable)
Please provide their name, address, and place of employment.
Before You Click Submit
Please click the link below to view your E-Verify rights.

http://bit.ly/1RgSCte

Once you've read the above document please initial below to verify the following:

I hereby acknowledge that I have received the notification that Pospiech Contracting participates in the E-verify program. I have been provided an informational packet on employee rights and an overview of the e-verify process (in both English and Spanish).

I understand that if documentation provided does not match the records on file with SSA (Social Security Administration) or DHS (Department of Homeland Security), I have the right to challenge the mismatch, also known as TNC.
Initials *
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