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JOB APPLICATION

Schrepple Construction
1336 N. 22nd Ave. Suite B
Phoenix, AZ 85009
480-389-7185

Schrepple Construction is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative

Please fill out all of the sections below:

Applicant Information

Applicant Name(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Telephone Number(Required)

Email Address(Required)

Date of Application(Required)

Employment Position

Position(s) applying for: Construction worker ( full time)

How did you hear about this position?(Required)

What days are you available for work?(Required)

What hours or shift are you available for work?(Required)

On what date can you start working if you are hired?(Required)

Do you have reliable transportation to and from work?(Required)

Salary desired:(Required)

Personal Information

Are you 18 years of age or older?(Required)

Yes

Are you a U.S. citizen or approved to work in the United States?(Required)

Yes

What document can you provide as proof of citizenship or legal status?(Required)

Do you have any condition which would require job accommodations?(Required)

Yes

If yes, please describe accommodations required below.

Have you ever been convicted of a criminal offense (felony or misdemeanor)?(Required)

Yes

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

(Note: No applicant will be denied employment solely on the grounds of conviction of a criminal offense. The date of the offense, the nature of the offense, including any significant details that affect the description of the event, and the surrounding circumstances and the relevance of the offense to the position(s) applied for may, however, be considered.)
Job Skills/Qualifications
Please list below the skills and qualifications you possess for the position for which you are applying:
Skills(Required)
(Note: Schrepple Construction complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional. )
Education and Training

High Shool
Name

Year Graduated

Location (City, State)

Degree Earned

College/University
Name

Year Graduated

Location (City, State)

Degree Earned

Vocational School/Specialized Training
Name

Year Graduated

Location (City, State)

Degree Earned

Military
Are you a member of the Armed Services?(Required)

What branch of the military did you enlist?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?
Previous Employment
Employer Name
Job Title:

Supervisor Name:

Employer Address:
Street Address City State / Province / Region ZIP / Postal Code

Employer TelePhone
Dates Employed

Reason for Leaving

Employer Name
Job Title:

Supervisor Name:

Employer Address:
Street Address City State / Province / Region ZIP / Postal Code

Employer TelePhone
Dates Employed

Reason for Leaving

Employer Name
Job Title:

Supervisor Name:

Employer Address:
Street Address City State / Province / Region ZIP / Postal Code

Employer TelePhone
Dates Employed

Reason for Leaving
References
Please provide 2 personal and professional reference(s) below:
Reference(Required)

Contact Information(Required)

Reference(Required)

Contact Information(Required)

AT-WILL EMPLOYMENT
The relationship between you and the Schrepple Construction is referred to as "employment at will." This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or the Schrepple Construction. No representative of Schrepple Construction has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will," and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either our Executive Vice-President/Chief Operations Officer or the Company's President.
Applicant Signature(Required)
Dated
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