"*" indicates required fields APPLICATION FOR EMPLOYMENTName* Telephone Number*Address* How long have you lived at the above address? Previous address Driver’s License Number State of Issue Position Applying For* Are you seeking Full or Part Time Employment Full Time Part Time How did you hear of this position? EDUCATIONHigh School City/State Did you Graduate? Yes No College City/State Did you Graduate? Yes No Degree Other (specify) City/State Did you Graduate? Yes No Degree PRIOR WORK HISTORYPlease list in order, present employer first then previous employersPresent EmployerName and Address of Previous Employer Phone NumberDate From MM slash DD slash YYYY Supervisor’s Name and Title Description of Work Performed, in DetailPrevious Employer 1Name and Address of Previous Employer Phone NumberDate From MM slash DD slash YYYY Date To MM slash DD slash YYYY Supervisor’s Name and Title Description of Work Performed, in DetailReason for Leaving Previous Employer 2Name and Address of Previous Employer Phone NumberDate From MM slash DD slash YYYY Date To MM slash DD slash YYYY Supervisor’s Name and Title Description of Work Performed, in DetailReason for Leaving Unless otherwise noted here, we will contact all previous employersAre there any other experiences, skills or qualifications, any OSHA certifications and/ or equipment certifications that you currently hold which you feel would especially fit you for working with our company?If hired, do you have reliable means of transportation to get to work? Yes No REFERENCESPlease list three professional references. (no relatives)Reference OneFull Name Relationship Company PhoneAddress Reference TwoFull Name Relationship Company PhoneAddress Reference ThreeFull Name Relationship Company PhoneAddress You Are Already DoneHave you previously worked for J.F. Scott? If so, what position and what dates? If offered employment, will you agree to abide by our Drug & Alcohol Policy? Are you at least 18 years of age? Yes No Do you have any physical limitations? Yes No We are a construction company that works throughout the State of Maine. Please note, if hired you will be expected to travel, please initial to confirm you understand this fact. If you have any restrictions or comments concerning travel, please note here:Do you have any questions concerning our company that we may answer for you? These will be reviewed during the interview processWe are an Equal Opportunity Employer. The facts set forth above in my application for employment are true and complete. I understand that false statements or material omissions on this application shall be grounds for not offering employment or shall be considered sufficient cause for dismissal if the falsification is discovered after being employed. I understand that all jobs that I may be offered at J.F. Scott Construction are jobs where the employment relationship will be “at will” (i.e. my employment may be terminated at any time by the company for any reason or I may quit at any time for any reason). I certify that no agent or employee for the company has said anything to make my potential employment relationship anything other than “at will”. I also authorize J.F. Scott Construction to do a complete background check for employment purposes.Signature of ApplicantDate MM slash DD slash YYYY Δ
