Employment Application

Your Details

Name *

First

Middle

Last

Date of Birth *

Email *

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Are you a United States citizen? *

Yes
No

Have you ever been convicted of a felony? *

Yes
No

If selected for employment with WestScott Construction, Inc., are you willing to submit to a Pre-Employment Drug Screening Test? *

Yes
No

Position

Position you are applying for: *

Available start date: *

Desired wage:

Employment desired *

Full time
Part time

Education

Highschool Name

Highschool Location

Years attended Highschool

Graduated Highschool?

Yes
No

College Name

College Location

Years attended College

Graduated College?

Yes
No

References

Please provide two references of character and work history.

Reference #1 Name

First

Last

Reference #1 Title

Reference #1 Company

Reference #1 Phone

Reference #2 Name

First

Last

Reference #2 Title

Reference #2 Company

Reference #2 Phone

Employment History

Employer #1 Name

First

Last

Employer #1 Address

Address Line 1

City

State

Employer #1 Phone

Employer #2 Name

First

Last

Employer #2 Address

Address Line 1

City

State

Employer #2 Phone

Signature Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Name Signing *

First

Last

Signature *

Clear Signature

Date Signed *

Your Details

Position

Education

References

Employment History

Signature Disclaimer

WestScott Construction

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