Employment Application

Careers at Baker's Construction Services

We are looking for people who work and live by a code of integrity – people with a strong work ethic and desire to thrive in a culture that embraces new ideas. Our team is comprised of talented professionals and we provide the right tools to foster your success and guide you on your chosen career path.

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Driver's License Number

Class

Expiration Date

Emergency Contact Name

Phone

If at present address less than one year, please provide previous address

Are you at least 18 years of age?

Yes

Employment is subject to verification of minimum legal age.

Can you produce documented proof of your identity and eligibility for employment in the United State?

Yes

Examples: drivers license, Social Security card, birth certificate, and/or Immigration and Naturalization Service documents

Position(s) applied for:

How soon could you report to work?

Type of employment desired:

Full-time

Part-time

Temporary

Rate of pay expected:

For part-time, what days and hours?

How did you come to apply?

Employee Referral

Former Employee

Newspaper Ad

High School Recruitment

Walk-In

College Recruitment

Have you ever been convicted of a violation of the law except a minor traffic violation?

Yes

Please state date, courte, and place where offense occured.

A conviction will not necessarily disqualify you from employment.

Have you ever been discharged or requested to resign from a position?

Yes

Are you employed now?

Yes

May we contact your present employer?

Yes

Have you ever held a position of trust (handling money or confidential material)?

Yes

Please describe.

Do you have any reason to believe you would have difficulty meeting this company's work schedule?

Yes

Please provide any additional information such as special skills, training, experiences, equipment operation, or other qualifications you feel will be helpful to us in considering your application.

Equal Opportunity Employer

All statements made by applicants for employment on this application form will be checked for accuracy. We offer equal employment opportunities to all persons without discrimination on the basis of race, color, religion, age, sex, national origin, citizenship status, physical or mental disability, or past, present, or future service in the Uniformed Services of the U.S., or any other legally protected status. The use of this form does not mean there are positions open and does not obligate us in anyway.

Prior Work Record

Start with most recent or present employer and complete in full.

Name and address of employer

Phone

Immediate Supervisor (Name & Position)

Date Hired

Starting Rate

Name and address of employer

Phone

Immediate Supervisor (Name & Position)

Date Hired

Starting Rate

Name and address of employer

Phone

Immediate Supervisor (Name and Position)

Date Hired

Starting Rate

Education

Elementary

Name, Address, Courses, and Last Year Completed

High

Name, Address, Courses, and Last Year Completed

College

Name, Address, Courses, and Last Year Completed

References

Do not list relatives or former employers.

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name

First Last

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Job Applicant's Agreement and Certification

I certify that the information given by me in this application is true in all respects, and I agree that if the information given is found to be false in any way, it shall be considered sufficient cause for denial of employment or discharge. I authorize the use of any information in this application to verify my statements, and I authorize past employers, all references, and any other persons to answer all questions asked concerning my ability, character, reputation, and previous employment record. I release all such persons from any liability or damages on account of having furnished such information. I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between the company and myself for either employment or for the providing of any benefit. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the company unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at any time and that the company retains the same right. If I am offered employment, I agree to submit to a physical examination whenever requested, and I understand my becoming employed and/or my continued employment are subject to the results of any physical examination related to my job duties in accordance with company policies and procedures. I understand that if employed, policies and rules which are issued are not conditions of employment and that the employer may revise policies or procedures in whole or in part, at any time. I understand that this application will be kept on active file for 60 days from the date completed, after which I would have to reapply in accordance with established company procedures.

Name

First Last