| POOLE ANDERSON CONSTRUCTION is an equal opportunity employer and considers applicants for all positions without
regard to race, color, religion, creed, gender, national origin, age, sexual orientation, disability, marital or veteran status, or
any other status protected under local, state or federal laws |
| Append a resume |
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| Append a cover letter |
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| General Information |
| How did you learn about us |
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| Details |
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| First Name |
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| Last Name |
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| Middle Initial |
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| Address |
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| Unit # |
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| City |
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| State |
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| Zip |
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| Primary Phone |
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| Secondary Phone |
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| SSN (Voluntary) and Possible Aliases |
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| Email |
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| Best time to reach you |
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| Are you eligible to work in the US |
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| (Proof of eligibility will be required upon offer of employment) |
| Are you over 18 years of age |
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| (If no, you may be required to provide authorization) |
| Can you perform the essential functions of this job with or without
reasonable accommodation |
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| (If you have any questions about the functions of this job, please ask the interviewer before answering this question) |
| Have you ever filed an application with us before |
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| If yes, give date(s) |
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| Have you ever been employed with us before |
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| If yes, give date(s) |
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| Are you related to anyone employed by Poole Anderson Construction |
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| If yes, state name, relationship and location |
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| Date Available |
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| Desired Salary Range |
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| Desired Status |
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Availability
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Mon |
Tue |
Wed |
Thu |
Fri |
Sat |
Sun |
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| PM |
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| Are you currently employed |
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| May we contact your present employer |
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| Are you on "lay-off" status and subject to recall |
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| Have you ever been convicted of a felony |
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| If yes, please explain |
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(A conviction will not necessarily disqualify you.)
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| Can you travel if the job requires it |
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| Do you have a valid driver's license |
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| (For driving positions only) |
| If yes, provide the number |
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| Have you been convicted of any moving violations in the past five years |
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| (A conviction will not necessarily disqualify you) |
| If yes, please explain |
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| Have you ever been fired from or asked to resign from a job |
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| (Answering yes will not necessarily disqualify you) |
| If yes, please explain |
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| Education |
High School
Name/Town,
Course of Study,
# Years Completed,
Diploma/Degree
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Undergraduate
Name/Town,
Course of Study,
# Years Completed,
Diploma/Degree
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Graduate/Other
Name/Town,
Course of Study,
# Years Completed,
Diploma/Degree
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Please list any academic honors, scholarships, offices held, etc.
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(Please do not list any which reflect your race, color, religion, gender, national origin, age, or any items covered in Title VII of the Civil Rights Act)
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Please describe any specialized training, apprenticeships, licenses or skills, including computer skills
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Have you received any job-related training in the United States Military
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If yes, please give dates and explanations
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| Work Experience |
| Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may
exclude organizations which indicate race, color, religion, gender, national origin, sexual orientation, disabilities or other
protected status. Please attach another page if needed. |
| Date Start |
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| Date End |
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| Employer |
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| Employer Address |
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| Employer Phone Number(s) |
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| Job Title |
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| Supervisor |
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| May we contact |
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| Salary (Start and End) |
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| Reason for leaving |
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| Work Performed |
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| Date Start |
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| Date End |
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| Employer |
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| Employer Address |
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| Employer Phone Number(s) |
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| Job Title |
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| Supervisor |
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| May we contact |
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| Salary (Start and End) |
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| Reason for leaving |
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| Work Performed |
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| Date Start |
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| Date End |
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| Employer |
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| Employer Address |
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| Employer Phone Number(s) |
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| Job Title |
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| Supervisor |
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| May we contact |
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| Salary (Start and End) |
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| Reason for leaving |
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| Work Performed |
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APPLICANT ACKNOWLEDGEMENT AND AUTHORIZATION
*PLEASE READ CAREFULLY BEFORE SIGNING*
I hereby certify that all of the information provided by me in this application (or any other accompanying or required
documents) is correct, accurate and complete to the best of my knowledge. I understand that the falsification,
misrepresentation or omission of any facts in said documents will be cause for denial of employment or immediate
termination of employment regardless of the timing or circumstances of discovery.
I understand that submission of an application does not guarantee employment. I further understand that, should an
offer of employment be extended by POOLE ANDERSON CONSTRUCTION Corporation (hereinafter referred to
as "PAC") that such employment with PAC is at will, for no specified duration and may be terminated by either
PAC or myself at any time, with or without cause or notice. I understand that none of the documents, policies,
procedures, actions, statements of PAC or its representatives used during the employment process is deemed a
contract of employment real or implied. I understand that no representative of PAC except the CEO or President has
the authority to enter into any agreement guaranteeing any conditions of employment or any agreement contrary to
the foregoing statements and that any such agreements must be made in writing and signed by the CEO or President
of PAC.
In consideration for employment with PAC, if employed, I agree to conform to the rules, regulations, policies and
procedures of PAC at all times and understand that such obedience is a condition of employment. I understand that
due to the nature of PAC business, attendance and punctuality are considered essential requirements of every job at
PAC and that poor attendance or tardiness will result in disciplinary action.
I authorize PAC to investigate my financial and credit record through any consumer reporting agency or bureau of
its choice, and further to make an investigation of my personal history including, if any, a record of law enforcement
activity, my character and general reputation. I understand that the company, upon my written request, will disclose
the nature and scope of any credit investigation. If this application is denied either wholly or partly because of
information contained in a consumer report from a consumer reporting agency, I understand that the company shall
advise me and provide me with the name and address of the consumer agency making the report.
I understand that if offered a position with PAC, I may be required to submit to a pre-employment medical
examination, drug screening and background check as a condition of employment. I understand that unsatisfactory
results from, refusal to cooperate with, or any attempt to affect the results of these pre-employments tests and checks
will result in withdrawal of any employment offer or termination of employment if already employed.
I herby authorize any and all schools, former employers, references, courts and any others who have information
about me to provide such information to PAC and/or any of its representatives, agents or vendors and I release all
parties involved from any and all liability for any and all damage that may result from providing such information.
I understand that this application is considered current for three months. If I wish to be considered for employment
after this period I must fill out and submit a new application.
BY SUBMITTING BELOW I ACKNOWLEDGE THAT I HAVE READ, UNDERSTOOD AND AGREE TO THE
ABOVE STATEMENTS AND THAT THE INFORMATION IN THIS FORM IS ACCURATE.
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| Name and number of person completing this form if other than applicant |
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| POOLE ANDERSON CONSTRUCTION IS PROUD TO BE AN EQUAL OPPORTUNITY EMPLOYER. ALL QUALIFIED
APPLICANTS WILL RECEIVE CONSIDERATION WITHOUT REGARD TO RACE, COLOR, RELIGION, GENDER,
NATIONAL ORIGIN, AGE, DISABILITY, VETERAN STATUS OR ANY OTHER STATUS PROTECTED BY LAW. |
