Employment Application - Premier Construction Services
Transcripción
Employment Application - Premier Construction Services
Nuco Construction, Inc. dba Premier Construction Services Employment Application Personal Name/ Nombre Address/ Direccion Last/ Apelido First/ Primer Nombre M.I. Date/Feche Street Address/ Calle Apartment/Unit #/ Apartamento City/ Ciudad State/ Estado Phone/ ( Telefono Date Available Feche Disponible ZIP Code Application on file/ ¿Uso en archive? ) Desired Salary: Social Security No: Position Applied for: Are you a citizen of the United States? ¿Es usted un ciudadano de los Estados Unidos? YES Have you ever worked for this company? Have you ever been convicted of a felony? NO YES NO YES NO $ If no, are you authorized to work in the U.S.? Si no, usted se autorizan para trabajar en los Estado Unidos YES NO If so, when? If yes, explain: Are you available to work Full Time/ Tiempo Completo (day - night - both) How many hour do you wish to work? Puede trabajar Part Time/ Medio Tiempo (day – night- both) Cuantas horas desea trabajar? Temporary Do you have previous janitorial or floor experience?/ ¿Usted tiene experiencia porteril o del piso anterior? If “yes”, explain: Yes No Are you able to perform the essential functions of the job for which you are applying, with or without accommodation? Yes No, explain: Have you ever been convicted of a crime? If yes, indicate when, where, and disposition of case(s): Will you work overtime if asked? Yes Yes No No If “yes”, explain: Do any of your friends or relatives, other than spouse, work here?/ ¿Tiene algun amigo oz. familiar, fuera del isposo, trabajando para la compañia? Yes No If yes, state name, relationship, and location. / Si contesta “yes” de su nombre, relación, y localidad. Do you have any friends or relatives who might want a job? / Tiene alguien conocido que quiera trabajar? If “yes”, Name/ Nombre: Telephone / Telefono: How did you hear about us? Education/ Educación From: College / University To: Address/ Direccion Did you graduate? ¿Usted graduó? YES From: College / University To: Address: Did you graduate? ¿Usted graduó? YES From: To: Address: Did you graduate? ¿Usted graduó? High School: YES NO Degree: NO Degree: NO Degree: Yes No Personal References / Referencias Personales Name / Nombre Relationship / Relación Name / Nombre Relationship / Relación Name / Nombre Relationship / Relación Phone: Phone: No Phone: From: Address: Job Title: ) Phone: Previous Employment May we contact your current supervisor for a reference? / Yes Podemos contactar su trabajo? Company: ( To: Supervisor: $ Starting Salary: Ending Salary: $ Responsibilities: May we contact your previous supervisor for a reference? / Podemos contactar su trabajo? Company: Yes No Phone: From: Address: Job Title: To: Supervisor: $ Starting Salary: Ending Salary: $ Responsibilities: May we contact your previous supervisor for a reference? / Podemos contactar su trabajo? Company: Yes Phone: From: Address: Job Title: No To: Supervisor: Starting Salary: $ Ending Salary: $ Responsibilities: In Case of Emergency, Notify/ En Caso de Emergencia, Notificar Name / Nombre Phone: I certify that all statements I have made on this application or on my resume or other supplementary materials submitted to Nuco Inc. dba Premier Construction Services are true and correct to the best of my knowledge, and understand that any misstatements or omissions may result in a withdrawal of any offer or immediate discharge if I am employed. I understand that employment and compensation at Nuco Inc. dba Premier Construction Services can be terminated or modified “at-will” or without cause of advance notice at any time at the option of either myself or Nuco, Inc. dba Premier Construction Services. No representation to the contrary, oral or written has been made to me by anyone. I also understand that changes to this at will relationship can be made only in writing and signed by the Company’s designated representative. I understand that I am entitled to copies of any public records obtained by Nuco Inc. dba Premier Construction Services unless I check the box below. If I am not hired as a result of such information, I am entitled to a copy of any such records even if I check the box below. I waive receipt of a copy of any public record described above ______________________________________________________________ __________________________ Applicant’s Signature Date