Last Name (*)
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First Name (*)
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Middle Name
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Date of Birth (*)
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Street Address (*)
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City (*)
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State (*)
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Zip Code (*)
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Home Phone (*)
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Other Phone
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Email
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SSN
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Have you ever applied for employment with us? (*)
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If Yes, month and year?
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Position Desired (*)
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Pay Expected
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Are you available for full-time work? (*)
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Are you legally eligible for employment in the United States? (*)
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Will you work overtime? (*)
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When can you begin work? (*)
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EMPLOYMENT HISTORY
PLEASE GIVE ACCURATE, COMPLETE FULL-TIME AND PART-TIME EMPLOYMENT RECORD.
START WITH PRESENT OR MOST RECENT EMPLOYMENT.
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EDUCATION
PLEASE NOTE LAST YEAR COMPLETED BELOW:
Elementary
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High School
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College
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If college graduate, please give name of degree
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Describe other education and training
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THE INFORMATION REQUESTED BELOW IS FOR A LEGALLY PERMISSIBLE REASON, INCLUDING, WITHOUT LIMITATION, NATIONAL SECURITY CONSIDERATIONS, A LEGITIMATE OCCUPATIONAL QUALIFICATION, OR BUSINESS NECESSITY. THE CIVIL RIGHTS ACT OF 1964 PROHIBITS DISCRIMINATION IN EMPLOYMENT BECAUSE OF RACE, COLOR, RELIGION, SEX OR NATIONAL ORIGIN. FEDERAL LAW ALSO PROHIBITS DISCRIMINATION ON THE BASIS OF AGE WITH RESPECT TO CERTAIN INDIVIDUALS. THE LAW OF MOST STATES ALSO PROHIBITS SOME OR ALL OF THE ABOVE TYPES OF DISCRIMINATION AS WELL AS SOME ADDITIONAL TYPES SUCH AS DISCRIMINATION BASED UPON ANCESTRY, MARITAL STATUS, PHYSICAL OR MENTAL HANDICAP, OR DISABILITY.
Have you been convicted of a crime in the past ten years, excluding misdemeanors or summary offenses, which has not been annulled, expunged, or sealed by a court? (*)
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If Yes, describe in full:
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AS PART OF PIONEER CONSTRUCTION, INC. EMPLOYMENT PROCEDURE, AN APPLICANT IS REQUIRED TO UNDERGO A TEST FOR AN ALCOHOL AND DRUG SCREENING THAT IS CONDUCTED BY A LOCAL LABORATORY. NO ONE IS ALLOWED TO WORK ON ANY OF OUR JOB SITES WHO IS UNDER THE INFLUENCE OF DRUGS. PLEASE CHECK THE BOX BELOW TO INDICATE THAT YOU ARE WILLING TO SUBMIT TO A DRUG SCREENING.
Submission to a drug screening is required for consideration of your application
THE INFORMATION PROVIDED IN THIS APPLICATION IS TRUE, CORRECT, AND COMPLETE. IF EMPLOYED, A MIS-STATEMENT OR OMISSION OF FACT ON THIS APPLICATION MAY RESULT IN MY DISMISSAL. I UNDERSTAND THAT ACCEPTANCE OF AN OFFER OF EMPLOYMENT DOES NOT CREATE A CONTRACTUAL OBLIGATION UPON THE EMPLOYER TO CONTINUE TO EMPLOY ME IN THE FUTURE. IF YOU DECIDE TO ENGAGE AN INVESTIGATIVE CONSUMER REPORTING AGENCY TO REPORT ON MY CREDIT AND PERSONAL HISTORY, I AUTHORIZE YOU TO DO SO. IF A REPORT IS OBTAINED YOU MUST PROVIDE, AT MY REQUEST, THE NAME AND ADDRESS OF THE AGENCY SO I MAY OBTAIN FROM THEM THE NATURE AND SUBSTANCE OF THE INFORMATION CONTAINED IN THE REPORT.
You are required to acknowledge these terms
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