Apply NowEmployment Application Name * First Name Last Name Other Name's Used Phone * (###) ### #### Email * Position You're Applying For * Desired Annual Salary How Were You Referred? If hired, can you present evidence of your U.S. citizenship or proof of your legal right to work in this country? Yes No Have you been employed with Blois Construction before? Yes No Education High School College Other Education Skills Please List Any Special Skills You Possess Previous Employment Company Phone (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Job Title Responsibilities Supervisor's Name & Title May We Contact? Yes No Start Date MM DD YYYY End Date MM DD YYYY Reason For Leaving Add Another Employer? Yes As part of your application for employment with Blois Construction, Inc. a drug screen is required. Do you agree to take a drug screen? * Yes No Add Additional Information If Necessary Disclaimer And Consent * I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements on this application shall be considered sufficient cause for dismissal. Blois Construction Inc. is hereby authorized to make any investigations of my prior educational and employment history. I understand Blois Construction is an Equal Employment Opportunity (EEO) employer, and no question on this application will be used to limit or prohibit consideration for employment based on factors prohibited by applicable local, state or federal laws. I understand that employment at this company is “at will,” which means that either I or this company can terminate the employment relationship at any time, with or without prior notice, and for any reason not prohibited by statute. All employment will continue on that basis. I understand that no supervisor, manager, or executive of this company, other than the president has the authority to alter the foregoing. I agree Thank you!
