Employment Application (English) SEASHORE Application for Employment Seashore provides equal opportunity without regard to race, color, religion, sex, national origin citizenship, military obligation or marital status. We provide equal employment opportunity for individuals with disabilities who are qualified for the job applied for and who can perform the essential job duties with or without reasonable accomodation and without posing a direct threat to the health or safety of the individual or others.Personal InformationDate:(Required) MM slash DD slash YYYY Position Applying for:(Required) Name(Required) First Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) EducationUntitled(Required) High School/GED Undergraduate Graduate Technical Training Skill InformationConstruction skills:Previous EmploymentEmployer Period of Employment Salary DutiesReason for Leaving May we contact your present/previous employer? Yes No Miscellaneous InformationAre you legally eligible to work in the U.S.A.?(Required) Yes No Have you ever been convicted of a felony?(Required) Yes No If yes, explain:Professional ReferencesList 3 persons, other than relatives or personal friends, who can judge your work ability.Name Company Telephone No.Name Company Telephone No.Name Company Telephone No.A valid driver's license is a requirement for employment at SeashoreDo you have a valid driver's license?(Required) Yes No A negative drug screen is a requirement for employment at Seashore.If you accept a job offer, are you willing to take a drug test?(Required) Yes No Have you ever been employed by Seashore?(Required) Yes No If YES, please indicate the dates of employment Do you have any relatives working for Seashore?(Required) Yes No If YES, please list the name(s) of relatives: Construction Job Requirements Employee may be required to lift or carry heavy objects, stoop, kneel or climb Employee may be required to perform work from scaffolding and aerial lifts elevated off the ground Employee may be required to work outdoors in inclement weather If hired, is there are reason you could not perform these essential job functions?(Required) Yes No Applicant Agreement (please read carefully before signing)I promise the information I gave in this Employment Application is true and complete. I understand Seashore, may refuse to hire me or, if I am hired by the Company, may discharge me, if I give false, misleading or incomplete information on this application. I understand that, if I am hired by Seashore, my employment is "at-will", which means the Company can terminate my employment at any time and for any reason the Company deems sufficient, with or without prior notice. I understand that, except by written agreement signed by the President or CFO of the Company, no manager, Supervisor, employee, or other Company representative has any authority to promise me employment for a particular length of time or to make any other promises or representations about my continued employment with Seashore.Applicant Signature(Required) Date(Required) MM slash DD slash YYYY 52761
