3531 Airport Road, Delaware, OH 43015

Application

    Trucco Construction Application for Employment

    An Equal Opportunity Employer

    Personal Info


    First Name

    Last Name

    (###)

    ###

    ####

    Address 1

    Address 2

    City

    State/Province

    Zip/Postal Code

    Country
    On what date would you be available for work?

    DD

    MM

    YYYY
    If employed and under 18 years of age, can you furnish a work permit?
    YesNo
    Have you filed an application with this company before?
    YesNo
    If yes, give the date

    DD

    MM

    YYYY
    Have you been employed with this company before?
    YesNo
    If yes, give the date

    DD

    MM

    YYYY
    Are you currently employed?
    YesNo
    If yes, may we contact your present employer?
    YesNo
    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.
    YesNo
    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.
    YesNo
    If yes, please explain
    A conviction will not necessarily disqualify applicant from employment.
    When are you available to work?
    Choose all that apply.
    Full-TimePart-TimeShift WorkTemporary

    Education

    Highest Education Received
    If Other, please specify:
    Describe any Course Studies, Specialized Training, Apprenticeships, Honors or Extra-Curricular Activities
    List professional, trade, business or civic activities and offices held
    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.


    First Name

    Last Name
    Phone Number for Reference 1

    (###)

    ###

    ####

    Address 1

    Address 2

    City

    State/Province

    Zip/Postal Code

    Country


    First Name

    Last Name
    Phone Number for Reference 2

    (###)

    ###

    ####

    Address 1

    Address 2

    City

    State/Province

    Zip/Postal Code

    Country


    First Name

    Last Name
    Phone Number for Reference 3

    (###)

    ###

    ####

    Address 1

    Address 2

    City

    State/Province

    Zip/Postal Code

    Country

    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.


    First Name

    Last Name

    Address 1

    Address 2

    City

    State/Province

    Zip/Postal Code

    Country
    Phone Number

    (###)

    ###

    ####
    Work Performed
    Reason for Leaving
    Start Date of Employment

    DD

    MM

    YYYY
    Final Date of Employment

    DD

    MM

    YYYY


    First Name

    Last Name

    Address 1

    Address 2

    City

    State/Province

    Zip/Postal Code

    Country
    Phone Number

    (###)

    ###

    ####
    Work Performed
    Reason for Leaving
    Start Date of Employment

    DD

    MM

    YYYY
    Final Date of Employment

    DD

    MM

    YYYY


    First Name

    Last Name

    Address 1

    Address 2

    City

    State/Province

    Zip/Postal Code

    Country
    Phone Number

    (###)

    ###

    ####
    Work Performed
    Reason for Leaving
    Start Date of Employment

    DD

    MM

    YYYY
    Final Date of Employment

    DD

    MM

    YYYY

    Special Skills and Qualifications
    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
    MaleFemale
    Ethnicity
    Check One
    HispanicNot Hispanic
    Race
    Check One
    WhiteBlack or African AmericanAsianNative Hawaiian or Pacific IslanderAmerican Indian or Alaskan NativeTwo or More Races
    Date of Birth

    DD

    MM

    YYYY

    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.
    Electronic Signature *
    Please type your full name.
    Today's Date *

    DD

    MM

    YYYY

    Copyright © 2021 Trucco Construction Co., Inc. All rights reserved.