Waites Construction Job Application

Personal Data

Last Name: First Name: Middle Name:

Date of Birth: License Number:

Street Address or Mailing Address: City: State: Zip:

Home Phone Number: Business Phone Number: Cellular Phone Number:

Date you can start work: Desired Beginning Salary: Desired Ending Salary:

Do you have a High School Diploma or GED? High School Diploma GED

Position Information Check all that you are willing to work.

Full Time Part Time Days Evenings Swing Graveyard Weekends

Status: Regular Temporary

Are you authorized to work in the U.S. on an unrestricted basis? Yes No

If yes, explain:

Have you been told the essential functions of the job or have you been viewed a copy of the job description listing the essential functions of the job? Yes No

Can you perform the essential functions of the job with or without reasonable accommodation? Yes No

Qualifications

Please list any education or training you feel relates to the position applied for that would help you perform the work, such as schools,
colleges, degrees, vocational or technical programs, and military training. Please include address, city and state.

Special Skills

List any special skills or experience that you feel would help you in the position that you are applying for (leadership, organizations, teams, etc.

References

Please list three professional references not related to you, with full name, address, phone number, and relationship.
If you don't have three professional references, then list personal, unrelated references.

Name: Address, City, State: Phone: Relationship:

Name: Address, City, State: Phone: Relationship:

Name: Address, City, State: Phone: Relationship:

Work History Start with your present or most recent employment work back. (INCLUDE PAID AND UNPAID POSITIONS)

Job Title #1: Start Date (mo/day/year): End Date (mo/day/year):

Company Name: Supervisor Name: Phone Number:

City: State: Zip:

Duties:

Reason for Leaving: Start Salary: Ending Salary:

May we contact your present employer? Yes No N/A

Job Title #2: Start Date (mo/day/year): End Date (mo/day/year):

Company Name: Supervisor Name: Phone Number:

City: State: Zip:

Duties:

Reason for Leaving: Start Salary: Ending Salary:

May we contact your present employer? Yes No N/A

Job Title #3: Start Date (mo/day/year): End Date (mo/day/year):

Company Name: Supervisor Name: Phone Number:

City: State: Zip:

Duties:

Reason for Leaving: Start Salary: Ending Salary:

May we contact your present employer? Yes No N/A

Job Title #4: Start Date (mo/day/year): End Date (mo/day/year):

Company Name: Supervisor Name: Phone Number:

City: State: Zip:

Duties:

Reason for Leaving: Start Salary: Ending Salary:

May we contact your present employer? Yes No N/A

By submitting this form, you hereby authorize Turner Insurance and Bonding Co. to release your current Motor Vehicle Report to Waites Construction Company Inc.
Both parties are released from any and all liability which may result from furnishing such information.

If hired, your MVR must be approved by the insurance company. Failure to be accepted by insurance may be grounds for dismissal.