Application | R Squared Contractin

PLEASE READ CAREFULLY AND COMPLETE ALL BLANKS. YOUR APPLICATION WILL NOT BE PROCESSED UNLESS ALL INFORMATION IS COMPLETE. ALL APPLICANTS WILL BE CONSIDERED FORR EMPLOYMENT WITHOUT REGARD TO SEX, RACE, COLOR, RELIGION, AGE, MARITAL STATUS, NATIONAL ORIGIN, CITIZENSHIP, VETERAN STATUS OR ANY OTHER STATUS PROTECTED UNDER STATE AND/OR FEDERAL LAW. WE ARE AN AT-WILL EMPLOYER. WE ARE AN EQUAL OPPORTUNITY EMPLOYER.

Date

Month

Day

Year

Phone Number

Last name

First name

Address

Shirt Size

Are you over 18 years of age?

Yes

Are you legally eligible for permanent employment in the U.S.?

Yes

What is your availibility?

Full-Time

Part-Time

Temporary

If hired, will you work overtime?

Yes

If hired, are you available for work 7 days a week?

Yes

If hired, are you willing to work out of town?

Yes

If you are NOT available 7 days a week, please indicate which days/hours you are NOT available to work:

What position are you applying for?

Pay expected per hour for position applying for:

Have you ever been convicted of a crime (excluding misdemeanors & traffic offenses)?

Yes

If yes, list conviction(s):

In the last five years, have you received any of the following:

Speeding

Reckless Driving

DUI

If yes, what year?

Do you currently hold a VALID driver's license?

Yes

Do you have your own, reliable transportation (do you drive yourself?)

Yes

High School

College

Other

Work History

Years Worked

Starting Wage

Final Wage

Reason for leaving

Work History

Years Worked

Starting Wage

Final Wage

Reason for leaving

Personal Reference 1

Name:

Relation:

Phone:

Personal Reference 2

Name:

Relation:

Phone:

Personal Reference 3

Name:

Relation:

Phone:

Additional Information/Miscellaneous - If there is any additional information you would like us to have when considering you for an interview and/or employment, please use this space to tell us

The information provided in this Application for Employment is true and complete to the best of my knowledge. Should I be employed by R Squared Contracting, LLC or any division of such (Company), any misrepresentation or false statement contained herein may be considered cause for termination. The Company has my permission to obtain all necessary information from the references I have listed, or any other sources, concerning my prior employment, personal history or credit standing, and I release all parties from any possible damages, liability and legal claims resulting from disclosing such information with or without prior written notice from me. I reserve the right to request the names and addresses of any investigative agencies used in order that i may learn the information contained in any reports furnished to the Company.

I understand this Application for Employment does not constitute contract of any kind. Should I be employed by the Company, I may resign such employment at any time at my discretion with or without prior notice and the Company may terminate my employment at any time at their discretion with or without cause and/or with or without prior notice. I also understand the hiring procedures as i have read them or as they have been read to me.

I understand this application is valid for only 90 days. After 90 days, I may be required to resubmit an application and survey in order to be considered for a position with the Company.

Signature of Applicant

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Date

Month

Day

Year