Apply for Your Next Career Opportunity [email protected] [email protected] [email protected] [email protected] Personal InformationFirst Name(Required)Middle NameLast NameDate of Birth MM slash DD slash YYYY Place of BirthMarried status Married Single Divorced Address Street Address City State / Province / Region ZIP / Postal Code Home PhoneCell PhoneEmail Address Position DesiredTitleDesired Hourly Rate: $Work EligibilityU. S. Citizen Yes No If No, Are You Authorized to Work in the U.S. ? Yes No When Will You Be Available for WorkHave You Been Convicted of or Plead No Contest to DUI/DWAI in the Last 5 Years? Yes No Traffic Violations in the Last Three Years? Yes No Restrictions Yes No Please Explain if AnyHave You Been Convicted of or Plead No Contest to a Felony With in the Last Five Years? Yes No If Yes, Please ExplainDo You Have Any Special Skills, Training or CertificationsCircle Appropriate AnswerAre You Able to Perform the Physical Duties Required for Construction Work? Yes No Lift Over 60 Lbs Several Times a Day? Yes No Work Out of Town? Yes No Work More Than 8 Hrs a Day for Multiple Days/Weeks at a Time Without Days Off? Yes No Ethnicity (Optional) American Indian/Native Asian Black/African American Hawaiian/Pacific Islander Hispanic/Latino Other Ethnicity (Other)Additional Language SkillsAre You a Military Veteran? Yes No If Yes Which Branch of ServiceRetired Military Yes No Emergency Contact InformationContact Name/Number in Case of EmergencyName: First and LastPhone NumberEducationHigh School Graduate Yes No If No, Highest Grade CompletedCollegeCourse of StudyDid You Graduate? Yes No Employment HistoryHave You Ever Been Terminated/Forced to Resign by an Employer? Yes No Please Provide Employment Record Starting With the Most Recent Employer. Include Military Experience if Applicable.Position 1Job TitleHourly RateCompany NameCityStatePhone NumberName of SupervisorEmployed (Month and Year) FromToResponsibilitiesPosition 2Job TitleHourly RateCompany NameCityStatePhone NumberName of SupervisorEmployed (Month and Year) FromToResponsibilitiesPosition 3Job TitleHourly RateCompany NameCityStatePhone NumberName of SupervisorEmployed (Month and Year) FromToResponsibilitiesPosition 4Job TitleHourly RateCompany NameCityStatePhone NumberName of SupervisorEmployed (Month and Year) FromToResponsibilitiesMay We Contact the Employer(S) Yes No If Not, Please Explain?Please List Three Personal/Professional ReferencesFull NameRelationshipCompanyPhoneAddressFull NameRelationshipCompanyPhoneAddressFull NameRelationshipCompanyPhoneAddressDisclaimer and Signature Mak3 Construction LLC is an At will employer, weather dictated employment company. Should we offer you a position and you accept that position we are unable to guarantee you any certain number of hours per week. We will strive to give you as many hours as we can, based on the projects we have and your ability to perform the duties in an acceptable manner. Certification of Truthfulness of Applications I certify that all of the statements contained in this application or accompanying forms are true and complete. I understand that any false statements, omissions or misrepresentation will constitute sufficient cause and reason for either refusal to hire or termination of employment. Print NameSignatureDate MM slash DD slash YYYY Company Use Below Interviewer CommentsStarting PayStart DatePositionShirt SizePant SizeNameThis field is for validation purposes and should be left unchanged. Download Job Application (PDF)
