Ira M. Green Construction Online Job Application Your Name Your Email Tell us about yourself Area of Interest Please SelectConstruction/LaborHeavy Equipment OperatorSteel CrewConcrete WorkerConcrete FinisherForman/LeadmanDriverMechanicPipe LayerSuperintendentField EngineerProject ManagerEstimatorClerical/AdministrativeOffice Professional Please attach your resume in pdf format ____________________________________________________________ Personal First Name Middle Name Last Name Primary Phone Secondary Phone Address City, State, Zip Education Please SelectNo High School DiplomaHigh School DiplomaAssociates DegreeBachelors DegreeMasters DegreePhDTrade or Technical DiplomaOther Your Hourly Pay Requirement $ Have you worked for us before? YesNo Do you have reliable transportation? YesNo Are you eighteen years or older? YesNo ____________________________________________________________ Employment History Please indicate your employment history starting with your most recent job. Title/Position Company Name Starting Employment Date Ending Employment Date Reason for Leaving Please selectTerminatedPromotedResignedLaid off Explain Final Wage $ Company City Company State Company Phone Number Okay to contact? YesNo Responsibilities and Duties ____________________________________________________________ Title/Position Company Name Starting Employment Date Ending Employment Date Reason for Leaving Please selectTerminatedPromotedResignedLaid off Explain Final Wage $ Company City Company State Company Phone Number Okay to contact? YesNo Responsibilities and Duties ____________________________________________________________ Title/Position Company Name Starting Employment Date Ending Employment Date Reason for Leaving Please selectTerminatedPromotedResignedLaid off Explain Final Wage $ Company City Company State Company Phone Number Okay to contact? YesNo Responsibilities and Duties ____________________________________________________________ Education Please SelectNo High School DiplomaHigh School DiplomaAssociates DegreeBachelors DegreeMasters DegreePhDTrade or TechnicalDiplomaOther Field of Study School Name City, State ____________________________________________________________ Criminal Offense Information Criminal offenses do not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account. Have you ever been convicted of a criminal offense, other than a minor traffic violation?YesNo If yes, type of offense misdemeanorfelony ____________________________________________________________ Criminal Offense History Date of Offense State Type of offensemisdemeanorfelony Details ____________________________________________________________ Date of Offense State Type of offensemisdemeanorfelony Details ____________________________________________________________ References Name Phone Years known ____________________________________________________________ References Name Phone Years known ____________________________________________________________ Basic Skills Test ACT Work Keys YesNo ACT Work Keys Score ____________________________________________________________ Qualifications and Certifications Issuing Authority Document Number Expiration Date Additional Qualifications ____________________________________________________________ Applicant Statement I certify that all information I have provided in order to apply for and secure work with the employer is true, complete and correct. I understand that any information provided by me that is found to be false, incomplete, or misrepresented in any respect, will be sufficient cause to (i) cancel further consideration of this application, or (ii) immediately discharge me from the employer's service, whenever it is discovered. I expressly authorize, without reservation, the employer, its representatives, employees or agents to contact and obtain information from all references ( personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resume or job interview. I hereby waive any and all rights and claims I may have regarding the employer, its agents, employees, or representatives, for seeking, gathering, and using such information in the employment process and all other persons, corporations or organizations for furnishing such information about me. I understand that the employer does not unlawfully discriminate in employment and no question on this application is used for the purpose of limiting or excusing any applicant from consideration for employment on a basis prohibited by applicable local, state or federal law. I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for employment, it will be necessary to reapply and fill out a new application. If I am hired, I understand that I am free to resign at any time, with or without cause and without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary and that no implied, oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president. I also understand that if I am hired, I will be required to provide proof of identity and legal authority to work in the United States and that federal immigration laws require me to complete a Form I-9 in this regard. I have read and understand the Applicant Statement. I agreeI do not agree
