Veliz Construction Employment Application
Please fill out this application for our company to review. If not applicable, please put N/A.
Name and Date:
Your answer
Position You Are Applying For: *
Your answer
Desired Salary:
Your answer
Last Name, First Name, Middle: *
Your answer
Address, City, State, Zip:
Your answer
Home Phone Number:
Your answer
Cell Phone:
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Email Address:
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Social Security Number:
Your answer
Are you a U.S. Citizen? *
Have you ever been convicted of a felony?
If selected for employment, are you willing to submit to a pre-employment drug screening test?
Are you willing to work out of town on a temporary basis, if required?
Who referred you to Veliz Construction?
Your answer
Education (School name, location and years attended):
Your answer
Other training, certifications or licenses held:
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Employment (1) (Employer, Dates Employed, Pay Rate, Work Phone, Address, Position, Duties Performed, Supervisors Name and Title, Reason for Leaving, May we contact them?)
Your answer
Employment (2) (Employer, Dates Employed, Pay Rate, Work Phone, Address, Position, Duties Performed, Supervisors Name and Title, Reason for Leaving, May we contact them?)
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References (Name/Title, Company, Phone): *
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Acknowledge and Authorization *
Required
Signature of Applicant and Date *
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