Employment Application

by | Jun 25, 2019 | 68 comments

Position Applied For:- not provided -
application dateJune 25, 2019
date available for work:July 1, 2019
type of employment desired:Full-Time
referral sourceN/A
last nameTest
first nameTest
middle initialTest
home addressTest
cityTest
stateTest
zip codeTest
Mailing Address (if different):Test
home phoneTest
cell phoneTest
Email Address[email protected]
If Yes, Can You Provide A Minor Work AuthorizationYes
Are you under 18?Yes
If Asked, Can You Provide Proof Of Eligibility To Work In The United States?Yes
if you cannot furnish a minor work authorization, please explain why:v
if yes, give position and dates:Test
Are You Now Or Have You Previously Been Employed By Halme Construction, Inc?- not provided -
if yes, please explain:- not provided -
Have You Been Convicted Of A Crime In The Last Seven/7 years?- not provided -
Are You Able To Meet Attendance Requirements Which May Include Overtime, Week-Ends And Nights?Yes
desired salary range10
If yes, please explain the circumstances:- not provided -
Have you ever been terminated or asked to resign from any job?Yes
*Please explain fully any gaps in your employment history:- not provided -
Job Title- not provided -
Start Date- not provided -
End Date- not provided -
Employer Name- not provided -
Employer Address- not provided -
Supervisor Name, Title, and Contact Phone Number- not provided -
Co-Worker Name, Title, and Contact Phone Number- not provided -
Starting Hourly Rate/Salary- not provided -
Ending Hourly Rate/Salary- not provided -
May We Contact this Employer?Yes
If no, please explain:- not provided -
Reason for Leaving- not provided -
Nature of Work Performed and Job Responsibilities- not provided -
Nature of Work Performed and Job Responsibilites- not provided -
If you need additional employment history of the last 10 years, please attach a separate file using the same format. Please ensure that each questions are answered in the same order.- not provided -
Do you have a high school diploma, GED or equivalent?Yes
List all schools attended, except elementary and middle schools: (Name of School, Location of School, Specify Degree or Certificate Earned, Year Completed)Test
Do you have a valid driver's license?Yes
List all valid drivers' licenses, flagger certifications or other government issued licenses you currently have: (State, License Number, Type, Date of Expiration)Test
Driving Experience: ClassTractor/Semi-Trailer
Driving Experience: Type of Equipment (Van, Tank, Flat, Etc.)- not provided -
Driving Experience: Start Date- not provided -
Driving Experience: End Date- not provided -
Approx. # of Miles (Total)- not provided -
Accident Record for Past Three (3) Years or More (Attach Sheet If More Space is Needed)Attachment
Date(s)June 25, 2019
Nature of Accident (Head-On, Rear-End, Upset, Etc.)Test
FatalitiesYes
InjuriesTest
Traffic Convictions and Forfeitures for the Past Three (3) Years (Other Than Parking Violations)Yes
Traffic Conviction: Location- not provided -
Traffic Conviction: Date- not provided -
Traffic Conviction: Charge- not provided -
Traffic Conviction: Penalty- not provided -
Attach Sheet if More Space is Needed- not provided -
Have you ever been denied a license, permit or privilege to operate a motor vehicle?Yes
Has any license, permit, or privilege ever been suspended or revoked?Yes
If the answers to either of the questions above is Yes, please attach a separate sheet giving full details- not provided -
List any special skills or qualifications you may possess:Test
List any specialized machinery or equipment that you can operate. Please include any certification dates and the names and contact numbers of the person(s), company or agency that provided the training.Test
List two(2) PERSONAL references who know you well enough to provide current information about yourself. DO NOT list relatives or former employers as PERSONAL references. These persons should be aware that they may be contacted by Halme.- not provided -
Reference Name 1Test
Reference 1 Phone NumberTest
Reference 1 Relationshipv
Reference 1 Email Address[email protected]
Reference 1 Message Phonev
Years Known Reference 1v
Reference Name 2v
Reference 2 Phone Numberv
Reference 2 Relationshipv
Reference 2 Email Address[email protected]
Reference 2 Message Phonev
Years Known Reference 2v
List three (3) BUSINESS / PROFESSIONAL references that know you and your work style, or work habits well enough to provide current information about you. These persons can include co-workers, supervisors, landlords, or other business contacts.- not provided -
Reference 1 Namev
Reference 1 Phone No.v
Reference 1 Company Namev
Reference 1 Business Addressv
Reference 1 Titlev
Reference 1 Years Knownv
Reference 2 Namev
Reference 2 Phone No.v
Reference 2 Company Namev
Reference 2 Business Addressv
Reference 2 Titlev
Reference 2 Years Knownv
Reference 3 Namev
Reference 3 Phone No.v
Reference 3 Company Namev
Reference 3 Business Addressv
Reference 3 Titlev
Reference 3 Years Knownv
position applied for please choose oneHeavy Equipment Operator
are you now or have you previously been employed by halme construction incYes
have you been convicted of a crime in the last seven 7 yearsYes
if no explain- not provided -
please explain fully any gaps in your employment history on a separate sheet and attach it to this applicationAttachment

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