Meili Construction Company Application for Employment Personal Information First Name M.I. Last Name Address Line 1 Address Line 2 City State Zip code Phone Number Are you 18 years or older? Yes No Email Employment Information Position Desired Date Available Wage Desired Are you currently employed? Yes No May we contact your current employer? Yes No Referred by Do you have a current Driver's License? Yes No State License Number What method of transportation do you use? Do you have any handicaps/disabilities that may limit your work ability? If yes, please list. Please list the tools & equipment you can operate that may pertain to the position desired: Please check the type(s) of construction you are experienced in: Commercial Residential Industrial Other If checked other, please describe: Education High School Name & Location Dates Attended Graduated? Yes or No Yes No College Name & Location Dates Attended Graduated? Yes or No Yes No Subject/Major Tech, Trade or Correspondence School Dates Attended Graduated? Yes or No Yes No Subject/Major Former Employers Employer 1 Employer Name Employer Address Position(s) held Pay Rate Start Date End Date Reason for Leaving Employer 2 Employer Name Employer Address Position(s) held Pay Rate Start Date End Date Reason for Leaving Employer 3 Employer Name Employer Address Position(s) held Pay Rate Start Date End Date Reason for Leaving References Please list 3 people who are NOT related to you, whom you have known for at least one year Reference 1 Name Address or Phone Number Business Years Aquainted Reference 2 Name Address or Phone Number Business Years Aquainted Reference 3 Name Address or Phone Number Business Years Aquainted Emergency Contact Name Address Phone Number I understand that a criminal background check will be performed. I further understand that the background check will be kept strictly confidential, and I give Meili Construction permission to acquire this information. I also understand by checking this box an entering my name below will act as my digital signature. Signature: Date: I certify the all information submitted by me on this application is true and complete, and I understand that if I have falsified any information or misrepresented myself, my application may be rejected and, if I am employed by Meili Construction Co., my employment may be terminated at any time. In consideration of my employment, I agree to conform to the company's rules, regulation and policies. I further agree that my employment and compensation can be terminated with or without cause, and understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by Meili Construction Company. I also understand by checking this box and entering my name below will act as my digital signature signifying that I accept all the terms stated above. Signature: Date: Send
