Career Opportunities

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.

Position Applying For

PERSONAL INFORMATION

Date

Date Available


Full Time	Part Time

Referral Source:

Full Name :

Street Address:

Phone:

City:

State:

Zip

SSN:

Email Address :

Have you ever been convicted of or charged with a
felony or misdemeanor?

Yes

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

Can you travel if a job requires it?

Yes

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

EDUCATION

Schools/Colleges Attended:	# Years	Year Grad	Degree

EMPLOYMENT/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:

Phone:

Reason for Leaving:

Dates of Employment:

From:

To:

Employer:

Job Title :

Supervisor:

Street Address:

City:

State:

Zip:

Phone:

Reason for Leaving:

Dates of Employment:

From:

To:

Employer:

Job Title :

Supervisor:

Street Address:

City:

State:

Zip:

Phone:

Reason for Leaving:

Dates of Employment:

From:

To:

PERSONAL REFERENCES

Please provide names, addresses, phone numbers, relationship and
how long known for 3 personal references.

Full Name :

Relationship :

Street Address:

How Long :

City:

State:

Zip:

Phone:

Full Name :

Relationship :

Street Address:

How Long :

City:

State:

Zip:

Phone:

Full Name :

Relationship :

Street Address:

How Long :

City:

State:

Zip:

Phone:

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.

If you prefer you can download a printable version employment application form here.

Application for Employment