Employment App – Allen Butler Construction

Allen Butler Construction Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, ABCI complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training. ABCI expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of ABC l's employees to perform their job duties may result in discipline up to and including discharge.

Name:

Phone:

Current Address:

Street Address City State ZIP Code

Previous Address:

Street Address City State ZIP Code

Are you 18 years of age or older?

Yes
No

Are you either a U.S. citizen or an alien authorized to work in the U.S.?

Yes
No

Position Desired?

Start Date Available

Please list Equipment you can operate and amount of experience:

Desired Wage? $

Have you previously worked for Allen Butler Construction, INC.? (If so when?)

When are you available to work? (Days of the week, Hours of the day)

Are you able to work: (Hold CTRL to select multiple options)

How did you hear about us?

Employment History | Please provide at least 3 years

Employer #1

Employer #2

Date Range (Employer#1)

Date Range (Employer#2)

Position Held? (Employer#1)

Position Held? (Employer#2)

Reason for Leaving? Feel free to elaborate. (Employer#1)

Reason for Leaving? Feel free to elaborate. (Employer#2)

Description of Duties (Employer#1)

Description of Duties (Employer#2)

Supervisor's Name & Title: (Employer#1)

Supervisor's Name & Title: (Employer#2)

May we contact them? (Employer#1)

Yes
No

May we contact them? (Employer#2)

Yes
No

Ending Pay? (Employer#1)

Ending Pay? (Employer#2)

Use this box for any additional employers, questions, or comments

Authorization and Acknowledgements

I affirm that the information I have provided in this application is true to the best of my knowledge, information and belief, and I have not knowingly withheld any information requested. I understand that withholding or misstating any information requested in this application is grounds for rejection of my application, and that providing false or misleading information in this application is grounds for discharge. ' I authorize the company to verify my references, record of employment, education record, and any other information I have provided. Unless otherwise noted, I authorize the references I have listed to disclose any information related to my work record and my professional experiences with them, without giving me prior notice of such disclosure. In addition, I release the company, my former employers and all other persons and entities, from any and all claims, demands or liabilities arising out of or in any way related to such inquiry or disclosure.

Signature

Date

Employment Application

Employment History | Please provide at least 3 years

Authorization and Acknowledgements

Specialized Construction Services

Allen Butler Construction

Office Hours

Latest Projects