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Application for Employment

Please fill in the application below. The field marked in red are required to process your application.

Job applying for:

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:

If other, please fill in details:

List your last three places of employment

 

Company

Phone

Dates employed

Position

Pay Rate

1

to

2

to

3

to

List two occupational references

 

Company

Contact

Phone

1

2

List one personal reference (Optional)

Name

Relationship

Phone

General Questionnaire

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?

Have you ever applied to us before?

Do you have a valid drivers license?

Are you willing to sign a DMV Information Request Form that will enable us to validate your driving record?

Do you have transportation or can you secure transportation to the work site?

Is there an income withholding order for child support against you?

Have you ever been convicted of a crime (other than a traffic violation)? Conviction will not necessarily disqualify you from employment.
(if yes, please give details below)

Are you a citizen of the United States?

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)

Verify the information above is accurate

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.