Application for Employment
Applications are considered without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non-job related medical condition or handicap.
If you prefer you can download a printable version employment application form here.
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Position Applying For:
-- Select A Position --
Laborer
Superintendent
Crane Operator
Engineer
Surveyor
Truck Driver
Mechanic
Heavy Equipment Operator
Carpenter
Construction Manager
Office Worker
Dispatcher
Equipment Manager
Personal Information
Date Available:
Type of Work:
-- Type of Position --
Full Time
Part Time
Referral Source:
First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Home Phone
Work Phone
Mobile Phone
Social Security Number:
E-Mail Address
Have you ever been convicted of or charged with a felony or misdemeanor?
Yes
No
If yes, please explain details in full, including dates, details of offense(s) charged, jurisdiction and disposition of case:
Have you ever been employed with us before?
Yes
No
Can you travel if a job requires it?
Yes
No
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.
Yes
No
Education
Schools/Colleges Attended:
Number of Years:
Graduation Year:
Degree/Certificate
Work Experience
Start with your present or most recent position. Include military service assignments and volunteer activities. Exclude organization names that indicate race, color, religion, sex or national origin.
Employer:
Job Title:
Supervisor:
Street Address:
City:
State:
Zip Code:
Phone Number:
Reason For Leaving:
Date of Employment:
From:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
To:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
Employer:
Job Title:
Supervisor:
Street Address:
City:
State:
Zip Code:
Phone Number:
Reason For Leaving:
Date of Employment:
From:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
To:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
Employer:
Job Title:
Supervisor:
Street Address:
City:
State:
Zip Code:
Phone Number:
Reason For Leaving:
Date of Employment:
From:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
To:
Month:
January
February
March
April
May
June
July
August
September
October
November
December
Year:
Personal References
Please provide names, addresses, phone numbers, relationship and how long known for 3 personal references.
First Name:
Last Name:
Relationship:
How Long Have You Known This Person:
Street Address:
City:
State:
Zip Code:
First Name:
Last Name:
Relationship:
How Long Have You Known This Person:
Street Address:
City:
State:
Zip Code:
First Name:
Last Name:
Relationship:
How Long Have You Known This Person:
Street Address:
City:
State:
Zip Code:
Special Skills
Describe any special skills or qualifications for this work
Applicants Statement
All Applicants Must Read And Acknowledge The Following To Complete The Application.
I CERTIFY that the above answers are true and complete to the best of my knowledge. I authorize Bush Construction Co. to investigate any statement contained in this application, as necessary to determine my qualifications. I understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge employee at any time with or without cause. I understand that this application is not and is not intended to be any kind of contract or agreement. In the event of employment, I understand that any false or misleading information given in my application, correspondence, discussions or interview may result in immediate termination. I understand also, that I am required to abide by all rules, regulations and policies of Bush Construction Co.
* I acknowledge that I am the applicant identified in Section 1 of this Application for Employment and that I have read and understand the above statement.
