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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.