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Application for Employment

Personal Information
First Name: A value is required.
Last Name: A value is required.
Social Security Number: A value is required.
Present Address: A value is required.
Phone: A value is required.
How did you hear about us?

Employment Desired
Position A value is required.
Date you can start A value is required.
Salary Desired A value is required.
Are you employed?
Yes No
Can we contact your present employer?
Yes No
Ever applied to this company before?
Yes No

Education History
  Name & location of School Years Attended Did you Graduate Subjects Studied
High School
Yes No
College
Yes No
Trade
Yes No
Other
Yes No

Work History
From To Name and Phone Number of Employer Position Reason For Leaving

References:

Give below names of three persons not related to whom you have known at least one year.
Name Phone Number & Address Years Known

Emergency Contacts:
Name Phone Number & Address

General Information:

Please provide us any further information about your skills, character, work ethic, or any other information you feel would be valuable in our consideration for the position in which you are applying.

Authoriziation:

I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falisified statements on this application shall be ground for dismissal. I authorize investigation of all statements contained herein and the references and employers as listed to give you and any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise, and release the company from all liability for any damage that may result from utilization of such information. I also understand and agree that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to make any agreement contrary to the foregoing, unless it is in writing and signed by an authorizied representative. I also agree to submit to a drug screening prior to hiring and if I fail such test I will not be considered for employment. This waiver does not permit the release or use of disability-related or medical information in a manner prohibited by the American with Disabilities Act and other relevant federal and state laws.

 
Contractor License Number #RKCCOCI943PO | CA James is a subsidiary of RKC Construction, Inc.
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