Employment Application

Thank you for submitting this Employment Application to E.M. Enterprises General Contractors, Inc.

To be considered for employment with E.M. Enterprises General Contractors, Inc. YOU MUST COMPLETE THIS ENTIRE EMPLOYMENT APPLICATION. Do not leave any questions unanswered or any blanks without any information. We do not accept résumés instead of this Employment Application or to answer any questions in this Employment Application. If you need extra space, please attach additional pages.

E.M. Enterprises General Contractors, Inc. considers all applicants for all positions without regard to sex, race, color, national origin, age, disability, marital status, or any other legally protected category. E.M. Enterprises General Contractors, Inc. also provides reasonable accommodations for applicants and employees with disabilities and bona fide religious beliefs. If you need any assistance in completing this application, please let us know.

E.M. Enterprises General Contractors, Inc. complies with all federal and state immigration laws requiring it to employ only United States citizens or foreign nationals who have a legal right to work in the United States. As a condition of employment, all employees must submit documentation showing they are legally authorized to work in the United States.

This Employment Application is not a contract. If you are accepted for employment, you will be employed at-will, which means either you or the Company may end your employment at any time.

This Employment Application is only valid for 90 days. If you wish to be considered for employment after 90 days, you must submit a new Employment Application.
How did you learn about E.M. Enterprises General Contractors, Inc.?
- Advertisement
- Employment Agency
- Friend / Family Member
- Walk-in
- Job Fair

PERSONAL INFORMATION

Please answer all questions. Resumes are NOT ACCEPTED as a way to answer any questions.
Home Address (no P.O. Boxes permitted)*

Street Address

City

State

Zipcode
List every city and state in which you have lived within the last 7 years.
Home Telephone
Alternate Telephone
Email*
DRIVING RECORD

Complete this section only if the position for which you are applying requires driving.
Drivers License Number
State
Name as it appears on License
Have you been issued any traffic violation citations or tickets in the last 7 years?*
If Yes, please provide the date, nature, and police agency that issued the citation.
- Yes
- No
Please provide the date, nature, and police agency that issued the citation.
CRIMINAL RECORD

Complete this section thoroughly. Please note that a criminal record does not necessarily disqualify you from consideration of employment.
Have you ever been convicted of a crime (federal, state, local or military)?*
- Yes
- No
Have you ever plead guilty or no contest to a felony or misdemeanor?*
Include all such pleas, including probation before judgment, suspended imposition of sentence and deferred disposition even if adjudication was withheld.
- Yes
- No
If you answered “Yes” to either question, please provide the dates, place, crimes, and penalty sentence imposed.
Have you ever been a defendant in a civil action for an intentional tort, such as assault or battery?*
- Yes
- No
If you answered “Yes,” please provide the dates, parties in the suit, the court in which it was filed, a summary of the claims against you, and the disposition of the action.

EMPLOYMENT EXPERIENCE

For the last 10 years, please identify all employers and provide detailed information for all periods of unemployment. This section must be completed in full.
Company Name
Telephone Number
City
State
Zipcode
Supervisor’s Name
Start Date

Date Format: MM slash DD slash YYYY
End Date

Date Format: MM slash DD slash YYYY
Most Recent Job Title
Starting Wage or Salary
Ending Wage or Salary
Reason for leaving

state whether you left voluntarily or not
May we contact?
- Yes
- No
Company Name
Telephone Number
City
State
Zipcode
Supervisor’s Name
Start Date

Date Format: MM slash DD slash YYYY
End Date

Date Format: MM slash DD slash YYYY
Most Recent Job Title
Starting Wage or Salary
Ending Wage or Salary
Reason for leaving

state whether you left voluntarily or not
Company Name
Telephone Number
City
State
Zipcode
Supervisor’s Name
Start Date

Date Format: MM slash DD slash YYYY
End Date

Date Format: MM slash DD slash YYYY
Most Recent Job Title
Starting Wage or Salary
Ending Wage or Salary
Reason for leaving

state whether you left voluntarily or not
Company Name
Telephone Number
City
State
Zipcode
Supervisor’s Name
Start Date

Date Format: MM slash DD slash YYYY
End Date

Date Format: MM slash DD slash YYYY
Most Recent Job Title
Starting Wage or Salary
Ending Wage or Salary
Reason for leaving

state whether you left voluntarily or not
Company Name
Telephone Number
City
State
Zipcode
Supervisor’s Name
Start Date

Date Format: MM slash DD slash YYYY
End Date

Date Format: MM slash DD slash YYYY
Most Recent Job Title
Starting Wage or Salary
Ending Wage or Salary
Reason for leaving

state whether you left voluntarily or not

EDUCATION

Resumes are not accepted as a response to this section.
High School
- Yes
- No
School Name
City & State
Major/ Area of Study
Did You Graduate?
- Yes
- No
- Currently Enrolled
College
- Yes
- No
School Name
City & State
Major/ Area of Study
Did You Graduate?
- Yes
- No
- Currently Enrolled
Degree
Graduate
- Yes
- No
School Name
City & State
Major/ Area of Study
Did You Graduate?
- Yes
- No
- Currently Enrolled
Degree
Vocational/Technical
- Yes
- No
School Name
City & State
Major/ Area of Study
Did You Graduate?
- Yes
- No
- Currently Enrolled
Degree
OTHER EDUCATION OR TRAINING

Please list any educational seminars, courses, or other training you have received that qualifies you for the position for which you are applying.
SPECIAL SKILLS

Please list any special skills or experiences that qualify you for the position you for which you are applying.
REFERENCES

Name Phone Number Relationship How Long Known

Do not include friends or relatives, unless they presently work for the Company.
EMERGENCY CONTACT

Name Address Phone Number Relationship

In case of an emergency, please provide us with a contact person. This section must be completed in full.
Resume
Upload
Accepted file types: doc, docx, pdf.

APPLICANT’S CERTIFICATION, AUTHORIZATION, AND RELEASE

Please read this section carefully, check all statements, and sign and date below.
*
I certify that the information I provided in this Employment Application is correct and complete.

I understand that any false or incomplete information may disqualify me for employment and it may also be grounds for termination of my employment if discovered after start working for the Company.
*
I authorize the Company or its designated representatives to investigate the information I have provided in this Employment Application by contacting previous employers, schools, references, and others for verification.

I hereby release, hold harmless, and indemnify the Company from any claims or liability resulting from its investigation of any information in this Employment Application. In addition, I release, hold harmless, and indemnify my previous employers, schools, references, and others from all claims or liability resulting from the Company’s investigation.
*
I understand that if the Company offers me a job, it will be for no guaranteed period of time and either myself or the Company can terminate the employment relationship with or without notice or cause at any time.

I understand that no person other than the President of the Company can enter into employment agreements with any person and that neither this Employment Application nor any of the Company’s employment policies, whether contained in an employee handbook or not, constitute an employment contract or modification of my at-will employment relationship with the Company. I further understand that no oral or written representations by any Company representative shall be deemed to constitute the terms of an implied employment contract.
*
I understand that any offer of employment will be contingent upon me completing any required post-offer medical questionnaires and passing any required physical examinations.
*
I understand that the Company is a Drug-free Workplace and that any offer of employment with the Company will be contingent upon me passing a pre-employment drug test for controlled substances, which may involve submitting a urine sample.

I hereby freely and voluntarily consent to this request and agree to participate in the Company’s drug testing program.
*
I understand that the Company is an equal opportunity employer and that its policy is to make employment decisions without regard to sex, race, color, national origin, age, disability, marital status, or any other legally protected category.

I agree that if at any time during the application or hiring process I believe I have been discriminated against on the basis of any legally protected category, I will raise that concern with the Company’s Human Resources Department immediately.
Date*

Date Format: MM slash DD slash YYYY
Signature*

Employment Application

Step 1 of 6

PERSONAL INFORMATION

DRIVING RECORD

CRIMINAL RECORD

EMPLOYMENT INFORMATION

EMPLOYMENT EXPERIENCE

EDUCATION

Resume

APPLICANT’S CERTIFICATION, AUTHORIZATION, AND RELEASE

Name	Phone Number	Relationship	How Long Known

Name	Address	Phone Number	Relationship