employment application

APPLICANT STATEMENT

I certify that all of the following information that I have provided in order to apply for and secure work with Built Right Construction, L.L.C. is true, complete and correct.

I also understand that if I am hired, I will be required to provide proof of identity and legal authorization to work in the United States of America and that federal immigration laws require me to complete an I-9 Form in this regard.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sufficient cause to (1) eliminate me from further consideration for employment, or (2) may result in my immediate discharge from the employer's service, whenever it is discovered.

DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.

By inserting my name and today's date, I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.

Name of Applicant

First Name

Last Name

Today's Date

YYYY

Where did you hear about Built Right Construction, LLC?

PERSONAL INFORMATION

Applicant Full Name

Include First, Middle and Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email Address

Phone

(###)

###

####

Cell

(###)

###

####

Position applying for

Have you ever pled "guilty" or "no contest" to, or been convicted of a crime?

Answering "yes" to this question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.

Yes

Are you willing to travel?

Yes

Do you have a valid Driver's License?

Yes

Education Level

Choose one

List any degree(s) and/or vocational certifications earned

MILITARY STATUS

Have you served in the armed forces?

Yes

If "Yes", please choose the most recent military branch in which you served or are currently serving

Rank/Type

If no longer in service, list reason for leaving

List any relevant military duties that you performed and/or special training that you received

REFERENCES:

PERSONAL REFERENCE 1

Name

First Name

Last Name

Phone

(###)

###

####

Relationship

Length of Relationship

PERSONAL REFERENCE 2

Name

First Name

Last Name

Phone

(###)

###

####

Relationship

Length of Relationship

PERSONAL REFERENCE 3

Name

First Name

Last Name

Phone

(###)

###

####

Relationship

Length of Relationship

EMPLOYMENT HISTORY:

PREVIOUS EMPLOYMENT 1

Employer Name & Address

Employer Phone

(###)

###

####

Name of Supervisor

Job Title & Description of Duties

Dates of Employment

Reason for Leaving

PREVIOUS EMPLOYMENT 2

Employer Name & Address

Employer Phone

(###)

###

####

Name of Supervisor

Job Title & Description of Duties

Dates of Employment

Reason for Leaving

PREVIOUS EMPLOYMENT 3

Employer Name & Address

Employer Phone

(###)

###

####

Name of Supervisor

Job Title & Description of Duties

Dates of Employment

Reason for Leaving