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Employment Application

We are an equal opportunity employer, dedicated to a policy of non discrimination in employment on any basis including age, sex, color, race, creed, national origin, religious persuasion, marital status, political belief, or disability that does not prohibit performance of essential job functions.

First Name:
Last Name:
Middle
Present Address:
I. Personal Information
City:
State:
Zip:
Social Security:
Home Phone:
Cellular Phone:
Email Address:

Federal law prohibits the employment of unauthorized aliens. All persons hired must submit satisfactory proof of employment authorization and identity (valid driver's license, birth certificate, Green Card, etc.) within three days of being hired. Failure to submit such proof within the required time shall result in immediate employment termination.
Position Applied for at KANE Construction, Inc:

1. Is there any information we would need about your name or use of another name for us to be able to check your work record? Please specify:

2. Do you have any relatives who are presently (or have formerly been) employed by KANE Construction, Inc.?

3. How were you referred to KANE Construction, Inc.?

4. Have you ever been convicted of a felony?

Yes
No
If yes, please explain:
2. Educational History
Education Type
School Name
Location
Years
Degree/ Diploma
III. Employment Record Please include all employment for the last ten (10) years.
1. Company Name
(Most Recent Employer):
Position Held:
Address:
Dates Employed:
From
/
-
/
Manager / Supervisor:
Telephone:
Wage / Salary:
Reasons For Leaving:
2. Company Name
(Most Recent Employer):
Position Held:
Address:
Dates Employed:
From
/
-
/
Manager / Supervisor:
Telephone:
Wage / Salary:
Reasons For Leaving:
3. Company Name
(Most Recent Employer):
Position Held:
Address:
Dates Employed:
From
/
-
/
Manager / Supervisor:
Telephone:
Wage / Salary:
Reasons For Leaving:
NOTE: Use a separate sheet to list additional employers, if necessary. We will contact all of the employers listed on this application unless you specifically exclude them below. Please list any employers you do not want us to contact and your reason for the exclusion:
Employer's Name:
Reason:
Employer's Name:
Reason:
4. References Please do no include relatives or former employers.
1. Reference Name:
Years Known:
Address:
Telephone:
Occupation:
2. Reference Name:
Years Known:
Address:
Telephone:
Occupation:
3. Reference Name:
Years Known:
Address:
Telephone:
Occupation:
V. Work Availability
  1. If your application receives favorable consideration, when will you be available to begin work?
  2. Do you have any objection to working overtime?
    Yes No
  3. Can you work overtime without prior notice?
    Yes No
  4. Can you work on Saturday?
    Yes No
  5. Can you work on Sunday?
    Yes No
  6. Can you travel if required by this position?
    Yes No
4. Salary / Hourly Rate Requirements If your application receives favorable consideration, what salary/hourly rate would you require?
$
per
.

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