Employment

Please specify the position(s) and/or type of work for which you are applying:

Type of employment desired:
Full TimePart TimeTemporary

Desired Salary:

Neither JJ Westhoff Construction Co., Inc. nor its employees will discriminate against any employee or applicant because of race, color, creed, national origin, religion, sex, or age; nor will JJ Westhoff Construction Co., Inc. discriminate against any applicant in violation of federal or state laws on hiring of the handicapped or veterans.

Legal Name:

Current Address: StateALAKASAZARCACOCTDEDCFMFLGAGUHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPWPAPRRISCSDTNTXUTVTVIVAWAWVWIWY
Phone:

Previous Address: StateALAKASAZARCACOCTDEDCFMFLGAGUHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDMPOHOKORPWPAPRRISCSDTNTXUTVTVIVAWAWVWIWY

Work Phone:

May we contact you at work?
YesNo

Best time?

Have you ever applied with us?YesNo
If so, when? Location:

Have you ever been employed by us?
YesNo
If so, when?
to If yes, what capacity?

Do you know anyone who is employed with us?
YesNo

Are you either a U.S. Citizen or an alien who has the legal right to work in the job for which you are applying? YesNo

Pursuant to federal law, all applicants, upon being made an offer of employment, must produce documents, which are specified by the Federal
Government, establishing their identity and authorization for employment in the United States. These documents must be produced no later than seventytwo
hours after commencement of employment. You will also be required to sign Form I-9 (Issued by the Federal Government) verifying, under oath, your
employment authorization. Some of these questions are required by OSHA and other federal/state entities. The answer to these questions will not be
used in any manner that violates JJ Westhoff’s Non-Discrimination/Harassment Policies.

Are you 18 years old or older?
YesNo
Do you have a reliable way to get to work?
YesNo
Do you have a valid driver’s license?
YesNo

Are you subject to any driving restrictions?
YesNo
Has your driver’s license ever been suspended or revoked?
YesNo

Have you ever received a ticket, been charged with an offense, or been arrested for anything other than a minor traffic violation?YesNo
List and explain:

Will you relocate if job requires it?
YesNo

Will you work overtime if necessary?
YesNo

Are you willing to travel if necessary?
YesNo

How did you hear of this position?

Select the the last year completed:

Grade, Trade, or High School
0123456789101112

Technical, Business School, College
012345

Graduate School
01234

High School Name:

Location:

List Every Business, Trade School, or College Attended

If you did not earn a degree from college, how many total hours have you successfully completed?

Quarter:

Semester:

Were you involved in any extracurricular activities in high school or college that you feel could be beneficial to you in the position you are applying for? (Organizations, offices held, awards, honors received, etc.)
YesNo
List and explain:

Do you currently have any specialty license(s) or an apprenticeship(s) other than from your above schooling?


YesNo
List and explain:

PRESENT AND PREVIOUS EMPLOYMENT INCLUDING MILITARY SERVICE (Show most recent employment first)

Please list the name and phone number of three references:

ATTACH RESUME OR LETTER, IF REQUIRED, TO PROVIDE COMPLETE DETAILS OF EXPERIENCE AND OTHER EMPLOYMENT

Resume:

Cover Letter:

By my signature and initials placed below, I understand that the information provided in this employment application (and accompanying resume, if any) is true and complete; and I understand that any false information or significant omissions may disqualify me from further consideration for employment and may be justification for my dismissal from employment if discovered at a later date. I agree to notify the company if any information provided in this application changes while my application is pending or during my period of employment if hired.

I authorize the investigation of all statements contained in this application. I also authorize the company to contact my present employer (unless otherwise noted in my application), past employers, and listed references. I understand that under the Federal Fair Credit Reporting Act, I have the right to make a written request to the company, within a reasonable time, for the disclosure of the name and address of the consumer reporting agency so that I may obtain a complete disclosure of the nature and scope of the investigation. I release such persons and organizations from legal liability in providing the above information.

I authorize any person, school, current employer (unless otherwise noted in my application), and organizations named in this application form to provide the company with relevant information that may be useful to the company in making a hiring decision; and I release such persons and organizations from any legal liability in making such statements.

I understand that this application does not, by itself, create a contract of employment. I understand and agree that, if hired, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD OF TIME and may, regardless of the date of payment of my wages or salary, BE TERMINATED AT ANY TIME. I understand that I am free to resign at any time. I understand that NO PERSON IS AUTHORIZED TO CHANGE ANY OF THE TERMS MENTIONED IN THIS EMPLOYMENT APPLICATION FORM.

This application is current for 6 months. At the conclusion of this time, if I have not heard from JJ Westhoff Construction Co., Inc. and still wish to be considered for employment, it will be necessary to fill out a new application.

JJ Westhoff Construction Co., Inc. is an Equal Opportunity Employer. We do not discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant’s consideration for employment on a basis prohibited by local, state, or federal law.

I give permission for a complete pre-employment physical examination, including a drug-screening exam if an offer of employment is made. I consent to the release to JJ Westhoff Construction Co., Inc. any and all medical information as may be deemed necessary in judging my capability to do the work for which I am applying.