Personal
Information
First
Name:*
Last
Name:*
Address:*
City:*
State:*
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Zip:*
Home Phone:*
E-mail:
Cell Phone:
D.O.B.*
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Year
Desired Position:
Driver's License #:*
Issuing State:*
Select
None
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
(If No Driver's License Enter: None)
Summarize your Special Skills or Qualifications:
Applicant Data
How were you referred to us:*
Date Available to Start:*
M
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Year
2009
2010
Desired Salary:*
$
If you are under 18 and we require a work
permit, can you furnish one?*
Yes
No
If no, please explain:
Have you ever worked for this company?*
Yes
No
If yes, when?
Are you a citizen of the United States?*
Yes
No
If not, are you legally allowed to work in the United States?
Yes
No
Type of employment desired:*
Not Selected
Full-Time
Part-Time
Temporary
Seasonal
Have you ever pled “guilty,” “no contest,” or been convicted of a crime?*
Yes
No
If yes, give dates and details:
Dates:
Details:
Answering “yes” to these questions does
not constitute an automatic rejection for employment. Date of the offense, seriousness
and nature of the violation, rehabilitation, and position applied for will be considered.
Employment History
Please list chronologically, beginning with most recent experience.
Employer:*
Address/City:*
From (MM/YYYY):*
To (MM/YYYY):*
Supervisor:*
Phone:*
Salary:*
Type of Work:*
Reason for Leaving:*
May we contact your previous employer?
Yes
No
Employer:
Address/City:
From (MM/YYYY):
To (MM/YYYY):
Supervisor:
Phone:
Salary:
Type of Work:
Reason for Leaving:
May we contact your previous employer?
Yes
No
Employer:
Address/City:
From (MM/YYYY):
To (MM/YYYY):
Supervisor:
Phone:
Salary:
Type of Work:
Reason for Leaving:
May we contact your previous employer?
Yes
No
Education
References
List three individuals familiar with your job qualifications (No relatives or personal friends).
1) Name of Reference:*
2) Name of Reference:*
Occupation:*
Occupation:*
Address:*
Address:*
City/State/Zip:*
City/State/Zip:*
Phone:*
Phone:*
Relationship:*
Relationship:*
How long known:*
How long known:*
3) Name of Reference:*
Occupation:*
Address:*
City/State/Zip:*
Phone:*
Relationship:*
How long known:*
CONSENT FOR DRUG / ALCOHOL SCREENING: IF YOU USE DRUGS, PLEASE DO NOT APPLY FOR EMPLOYMENT WITH THE MAGEE COMPANIES; WE PROMOTE A DRUG-FREE WORK FORCE. If you are offered and accept employment with a Magee Construction Corporation Company (Magee) you may work with and/or be around machinery and equipment that can cause injury to yourself and others. In the interest of safety for all concerned, you will be required to take a urine test for drug and/or alcohol use as a condition of employment. The results of this test will be sent to Magee and become part of a permanent employee record. If this test is positive, and for this reason you are not hired, you will be given the opportunity to explain the reasons for the results of this test. You are hereby authorizing these test results to be released to Magee.EMPLOYMENT APPLICATION DISCLAIMER, ACKNOWLEDGEMENT & AUTHORIZATION TO RELEASE INFORMATION: I hereby authorize any of the persons or organizations listed in my application to give all information concerning my previous employment, education, or any other information they might have, personal or otherwise, with regard to any of the subjects covered by this application, and release all such parties from all liability that may result from furnishing such information to Magee. I further authorize Magee to request and receive such information. In consideration for my employment and my being considered for employment by Magee, I agree to adhere to the rules and regulations of the company and hereby acknowledge that these rules and regulations may be changed by the company at any time, at the company's sole option and without any prior notice. In addition, I acknowledge that my employment may be terminated, and any offer of employment, if such is made, may be withdrawn, with or without prior notice, at any time, at the option of either the company or myself. I understand that no representative of the company has any authority to enter into any agreement for employment for any specified period of time, or to assure or make some other personnel move, either prior to commencement of employment or after I have become employed, or to assure any benefits or terms and conditions of employment, or to make any agreement, that is contrary to the foregoing. I hereby acknowledge that this application will remain active for no more than 90 days from the date it was submitted. I certify that my answers are true and complete to the best of my knowledge. I authorize Magee to make such investigations and inquiries of my personal, employment, educational, financial, and other related matters as may be necessary for an employment decision. I hereby release previous and/or current employers, schools or individuals from all liability when responding to inquiries in connection with my application. In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in an immediate discharge.
*
I have read and agree to the terms above
*
Applicant agrees to drug policy