Personal Info
Name *
Name
Phone *
Phone
Present Address *
Present Address
On what date would you be available for work?
On what date would you be available for work?
If employed and under 18 years of age, can you furnish a work permit?
Have you filed an application with this company before?
If yes, give the date
If yes, give the date
Have you been employed with this company before?
If yes, give the date
If yes, give the date
Are you currently employed?
If yes, may we contact your present employer?
Are you prevented from lawfully becoming employed in this country because of visa or immigration status?
Proof of citizenship or immigration status will be required upon employment.
Have you been convicted of a felony within the last 7 years?
Illinois applicants: Under Illinois law, applicants are not obligated to disclose sealed or expunged records of conviction or arrest.
A conviction will not necessarily disqualify applicant from employment.
When are you available to work?
Choose all that apply.
Education
You may exclude memberships that would reveal sex, race, religion, age, ancestry, disability or other protected status.
References
Give the name, address and telephone number for three (3) references who are not related to you and are not previous employers.
Name of Reference 1
Name of Reference 1
Phone Number for Reference 1
Phone Number for Reference 1
Address for Reference 1
Address for Reference 1
Name of Reference 2
Name of Reference 2
Phone Number for Reference 2
Phone Number for Reference 2
Address for Reference 2
Address for Reference 2
Name of Reference 3
Name of Reference 3
Phone Number for Reference 3
Phone Number for Reference 3
Address for Reference 3
Address for Reference 3
Employment
Start with your present or last job. Include military service assignments and volunteer activities. You may exclude memberships that would reveal sex, race, religion, age, ancestry, disability or other protected status.
Supervisor
Supervisor
Address
Address
Phone Number
Phone Number
Start Date of Employment
Start Date of Employment
Final Date of Employment
Final Date of Employment
Leave blank if you currently work for this employer.
Address
Address
Phone Number
Phone Number
Start Date of Employment
Start Date of Employment
Final Date of Employment
Final Date of Employment
Leave blank if you currently work for this employer.
Address
Address
Phone Number
Phone Number
Start Date of Employment
Start Date of Employment
Final Date of Employment
Final Date of Employment
Leave blank if you currently work for this employer.
Summarize special skills and qualifications acquired from employment experience or education.
Voluntary Self-ID Form
Trucco Construction Co., Inc. is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights and regulations. In order to comply with these laws, Trucco invites employees to voluntarily self-identify their race or ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders, and regulations, including those that require the information to be summarized and reported to any applicable local, state or federal governmental agency for civil rights enforcement. When reported, data will not identify and specific individual.
Sex
Check One
Ethnicity
Check One
Race
Check One
Date of Birth
Date of Birth
Signature
I certify that the answers given herein are true and complete to the best of my knowledge. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. This application for employment shall be considered active for a period of time not to exceed 180 days. If I wish to be considered for employment beyond this period, I understand that I need to inquire as to whether or not applications are being accepted at that time. I understand that neither this application nor any offer of employment from the employer constitutes and employment contract unless a specific document to that effect is executed by the employer in writing. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the employer. I understand that Trucco Construction is a drug free workplace and that I must pass a drug test as a condition of employment.
Please type your full name.
Today's Date *
Today's Date