Employment - SHIVELY CONSTRUCTION - Employment Application

APPLICANT INFORMATION

Full Name*

First Last

Today's Date*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Date Available*

Social Security Number*

Desired Salary*

Position Applying For*

Are you a citizen of the United States?*

Yes
No

If no, are you authorized to work in the U.S.?

Yes
No

Have you ever worked for Shively Construction?*

Yes
No

When?

EDUCATION

High School*

Address*

From

To

Did you graduate?*

Yes
No

Diploma

College

Address

From

To

Did you graduate?

Yes
No

Diploma

Other

Address

From

To

Did you graduate?

Yes
No

Diploma

PLEASE LIST THREE PROFESSIONAL REFERENCES

Name

First Last

Relationship

Company

Phone

Address

Name

First Last

Relationship

Company

Phone

Address

Name

First Last

Relationship

Company

Phone

Address

PREVIOUS EMPLOYMENT

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes
No

Company

Phone

Address

Supervisor

Job Title

Starting Salary

Ending Salary

Responsibilities

From

To

Reason for Leaving

May we contact your previous supervisor for a reference?

Yes
No

MILITARY SERVICE

Branch

From

To

Rank at Discharge

Type of Discharge

If other than honorable, explain

DISCLAIMER AND SIGNATURE

Consent*

I agree to the privacy policy.

As part of any recruitment process, Shively Construction, Inc. collects and processes personal data relating to job applicants. We are committed to be transparent about how we use this data.

We collect a range of information about you that includes your name, address and contact details including email address social security number and telephone number.

We also collect details of your qualifications, skills, experience and employment history including, your current level of pay and benefits.

Shively Construction will not share your data with any third parties, and it is only accessed by employees in the proper performance of their duties.

Signature*

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. I authorize Shively Construction, Inc. to investigate all statements contained in this application for employment that may be necessary in arriving at an employment decision. I hereby release Shively Construction and It's representatives from any liability for seeking such information and all other persons, corporations or organizations for providing such information.

Today's Date*

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