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Please fill in the application below. The field marked in red are required to process your application.
Superintendent Carpenter Helper
If your are interested in a position other than those listed above, please send your resume to our human resources department.
First name:
Last name:
SS#:
Street Address:
City:
State:
Zip:
E-mail address:
Phone number 1:
Phone number 2:
Highest level of education completed:
Select one... 9th 10th 11th 12th Other If other, please fill in details:
Company
Phone
Dates employed
Position
Pay Rate
1
to
2
3
Contact
Name
Relationship
Please note that a pre-employment drug-screening will be required to successfully process your application.
If under 18 years of age, can you provide proof of eligibility to work? Select one... Yes No
Have you ever applied to us before? Select one... Yes No
Do you have a valid drivers license? Select one... Yes No
Are you willing to sign a DMV Information Request Form that will enable us to validate your driving record? Select one... Yes No
Do you have transportation or can you secure transportation to the work site? Select one... Yes No
Is there an income withholding order for child support against you? Select one... Yes No
Have you ever been convicted of a crime (other than a traffic violation)? Conviction will not necessarily disqualify you from employment. Select one... Yes No (if yes, please give details below)
Are you a citizen of the United States? Select one... Yes No
If you are not a citizen of the United States, does your immigration status permit you to work? You will be asked to provide proof (Visa, green card, Social Security card, and driver's license) Select one... Yes No
I certify that all of the information given on this application is true to the best of my knowledge. I understand that any willful misstatement of facts herein is grounds for dismissal from employment with C. L. Lewis & Company, Inc.
This application will be retained for at least one year as required by federal antidiscrimination statutes. C.L. Lewis & Company is an equal opportunity employer.
© 2004 C.L. Lewis & Company, Inc.