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EMPLOYMENT APPLICATION

PLEASE PRINT YOUR ANSWERS LEGIBLY

DATE ____ / ____ / ______

Name ______

Last First Middle Maiden

Present address ______

Street City State Zip

How long have you lived there? ___ yrs. ___ months If less than 7 yrs: Previous City(s)/State(s) of residence ______

Home Phone ( ___ ) ____ - ______Cell Phone ( ___ ) ____ - _____ Other ( ___ ) ____ - _____

Email Address: ______

Social Security No. ______- _____ - ______Age (only if under 18) _____

Position applied for  Laborer  Apprentice Carpenter  Journeyman Carpenter  Lead Carpenter  Foreman

Wages desired $ ____ . ___ /hr (must be filled out) Negotiable?  Yes  No

Employment desired  FULL-TIME/PERMANENT  PART-TIME/TEMPORARY  SUBCONTRACTOR

How many hours can you work weekly? ______Are Weekends OK? ______

What date can you start? ____ /____ / ______

SCHOOL HISTORY

NUMBER OF

MAJOR &

TYPE OF SCHOOL

High School

College

Bus. or Trade School


NAME OF SCHOOL


LOCATION

MISC


YEARS

COMPLETED


DEGREE

Have you ever been convicted of a felony?  No  Yes

If yes, please explain: ______

Do you have a valid driver's license?  Yes  No

What is your means of transportation to work?  Full Size Pickup  Full Size Van  Car  Small Truck/Minivan

Driver's license

number ______State of issue ______ Operator  Commercial (CDL)

Expiration date ____ / ____ / ______

Have you had any accidents during the past three years? How many? ______

Have you had any moving violations during the past three years? How Many? ______

Have you ever been cited for driving under the influence of alcohol or any banned Yes/No? ______

substance?

If yes, please explain: ______

CONSTRUCTION

SKILLS

Please answer the following specific questions regarding your experience:

 Foreman (# of yrs experience - ____ yrs) (running a job with 5+ journeymen from start to finish)

 Lead Carpenter (# of yrs experience - ____ yrs) (working as a foreman's right hand man)


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 Interior Trim/Millwork (# of yrs experience - ____ yrs)

 Exterior Trim/Siding (# of yrs exp - ____ yrs)

 Drywall Finishing (# of yrs experience - ____ yrs)

 Concrete Flatwork (# of yrs experience - ____ yrs)

 Concrete Formwork (# of yrs experience - ____ yrs)

 Construction Equipment (# of yrs experience -____yrs) List type of equipment:

Please provide a detailed list of all applicable construction skills, training, and/or experience you have:

______

Please provide a detailed list of some significant jobs you have worked on:

______

Please list the tools that you own and are willing to use on the job:

______

REFERENCES

Please list two references other than relatives or previous employers.

Name ______

Position ______

Company ______

Address ______

______

Telephone ( ___ ) ____ - _____

Other Phone No. ( ___ ) ____ - _____

Name ______

Position ______

Company ______

Address ______

______

Telephone ( ___ ) ____ - _____

Other Phone No. ( ___ ) ____ - _____

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Work Please list your work experience beginning with your most recent job held.

Experience If you were self-employed, give firm name.

Name of last Employment dates Pay or salary

Name of employer: ______supervisor

City/State: ______


, ____


From:


__ / __

Start: $ ___. ___

Phone number: (*mandatory) - ____ - ____ - ______To: __ / __

Final: $ ___. ___

Your last job title: ______

Reason for leaving (be specific): ______

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this

company.

Name of last Employment dates Pay or salary

Name of employer: ______supervisor

City/State: ______


, ____


From:


__ / __

Start: $ ___. ___

Phone number: (*mandatory) - ____ - ____ - ______To: __ / __

Final: $ ___. ___

Your last job title: ______

Reason for leaving (be specific): ______

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this

company.

Name of last Employment dates Pay or salary

Name of employer: ______supervisor

City/State: ______


, ____


From:


__ / __

Start: $ ___. ___

Phone number: (*mandatory) - ____ - ____ - ______To: __ / __

Final: $ ___. ___

Your last job title: ______

Reason for leaving (be specific): ______

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this

company.

Name of last Employment dates Pay or salary

Name of employer: ______supervisor

City/State: ______


, ____


From:


__ / __

Start: $ ___. ___

Phone number: (*mandatory) - ____ - ____ - ______To: __ / __

Final: $ ___. ___

Your last job title: ______

Reason for leaving (be specific): ______

List the jobs you held, duties performed, skills used or learned, advancements or promotions while you worked at this

company.

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May we contact your present and / or past employers?  Yes  No

Did you complete this application yourself?  Yes  No If not, who did? ______

AGREEMENT (PLEASE READ CAREFULLY BEFORE SIGNING)

I certify that all the information on this application is accurate and complete to the best of my knowledge.

I authorize Murray Construction Group, LLC to investigate information concerning my education, credit history, employment

experiences and other aspects of my background. I release Murray Construction Group, LLC and its employees from all liability arising from such investigation.

Signature of applicant______Date: ______

Email completed application to:

or

mail to:

Murray Construction Group, LLC

15960 Allen Center Road

Marysville, OH 43040