PERSONAL INFORMATION:
EMPLOYMENT
Which will you accept (Check all that apply): Full TimePart TimeSeasonalShift Work
Are you 18 years old? YesNo
Are you Are you eligible to work in the United States? (either because you are a U.S. Citizen or have U.S. government permission to do so) YesNo NOTE: If offered employment you will be required to provide documentation to verify employment eligibility. Failure to provide the requested documentation may result in a determination that the applicant is ineligible for employment in the United States.
Have you ever worked for us before? YesNo If so, when and where? Give name, relationship and department of any relatives employed by Clark Construction:
DRIVER'S HISTORY INFORMATION:
Do you have a valid driver's license? YesNo
Have you received any traffic violations in the past 5 years? YesNo If yes, list type of offense and dates:
CRIMINAL HISTORY INFORMATION:
Have you (since the age of 18) ever been convicted of or plead guilty or no contest to a misdemeanor? (For example: DUI, Bad Checks, etc) YesNo If YES describe the circumstances. (Date, Place, Charges, Disposition): (Omit non-moving traffic violations/parking tickets and any offense which was finally adjudicated in a Juvenile Court or under a Youth Offender Law)
Have you (since the age of 18) ever been convicted of or plead guilty or no contest to a felony? YesNo If YES describe the circumstances. (Date, Place, Charges, Disposition):
NOTE: Applicants convicted of a criminal offense involving the manufacture, distribution, trafficking, or sale of a controlled substance, dangerous drugs or marijuana, or convicted of any felony involving a violent crime such as assault with a deadly weapon, aggravated assault or murder are ineligible to be employed with Clark Construction. Such applicants will automatically be rejected. Applicants convicted of any other felony shall be considered on a case by case basis. An applicant convicted of a felony or misdemeanor who has received a pardon from the appropriate State Pardons and Parole Board shall be eligible for employment with Clark Construction.
Have you ever been suspended, demoted, dismissed or asked to resign from any job? YesNo If Yes, explain in detail
EDUCATION
High School
(Name of the high school of state authority issuing the diploma or certificate) Graduated?YesNo If no, do you have GED?YesNo
Colleges/Universities
Please complete the following for post-secondary education (Technical Schools/Colleges/Universities): Degree earned?YesNo
Degree earned?YesNo
Skills/Training
Describe specialized training, qualifications, apprenticeship, skills and extra-curricular activities which relate to the position for which you are applying. Include office equipment, computer skills, foreign language skills, typing skills, and business equipment or machine operating skills which may relate to the position for which you are applying.
REFERENCES
Give names, addresses, and telephone numbers of three (3) references that ARE NOT related to you and ARE NOT previous employers.
Reference 1
Reference 2
Reference 3 [v reference3_phone placeholder 'Phone']
EMPLOYMENT HISTORY
Describe your work history beginning with your current or most recent job. Include military and volunteer experience and periods of unemployment. Failure to give complete information regarding each job held may result in your disqualification. Complete addresses with zip codes and telephone numbers for all employers are necessary. A resume may be attached only as additional information and will not be accepted in lieu of completing this section.
Describe Your Specific Job Duties:
AUTHORIZATION TO RELEASE INFORMATION:
Conditions of Employment
I have made application for employment with Clark Construction. I authorize any persons or organizations to give you any and all information concerning my previous employment, education, or any other information they might have, personal or otherwise, whether or not it is in their records, with regard to any of the subjects covered by this application, and I release all such parties from all liability for any damage whatsoever for issuing same.
Furthermore, if I am employed by Clark Construction, I agree to the policies, rules, orders and regulations of the government set forth in Clark Construction's Personnel system, employee handbook, policies and procedures and ordinances; and acknowledge that these policies and procedures, rules, and regulations may be changed, interpreted, withdrawn, or added to by Clark Construction at any time.
I further acknowledge that if I become employed with Clark Construction, my employment will be at -will and may be terminated with or without cause at any time by me or Clark Construction until such time that I am no longer on my initial trial period, and become a regular status employee.
If required by Clark Construction for the position which I am applying, I consent to undergo a drug test, a physical examination, and/or a psychological examination after I have received a conditional offer of employment, as deemed necessary.
THIS APPLICATION WILL REMAIN ACTIVE FOR NINETY (90) DAYS ONLY.
Should you become an employee with Clark Construction, your position may require random drug testing.
May we contact your present employer? YesNoNot presently employed
Alcohol and Controlled Substance Testing
As a condition of employment with Clark Construction, you may be required to submit to an alcohol and controlled substance test. Employees who test positive for illegal drugs and/or alcohol will be terminated. Employees must report any conviction under a criminal drug statute for such violations. A report of the conviction must be made within five (5) days after the conviction.
By checking this box, I acknowledge the above and consent to such an examination and test.
Applicant's Certification and Agreement
I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I am aware that the falsification of this application or the omission of complete information will result in disqualification, or upon discovery, termination of employment. Clark Construction is hereby authorized to make any investigation of my prior educational and work history. Finally, I agree that all records generated for purposes of employment are property of and shall remain the sole and exclusive property of Clark Construction.
By checking this box, I acknowledge the above and agree to these terms.
Resumes, letters of reference, etc. submitted with the application become property of Clark Construction and will not be returned. The information you have provided on the application is subject to public disclosure under the Georgia Open Records Act.
Applicant's Certification of Employment Eligibility
I certify that I am in compliance with O.C.G.A. 13-10-91 and that I am a citizen, legal permanent resident or a qualified alien or nonimmigrant and I am eligible to work in the United States.
Attach Resume to Form:
