Benchmark Construction

2422 East High Avenue

New Philadelphia, Ohio 44663

Position: General Interest

Benchmark Construction is an Equal Opportunity Employer, committed to employing individuals without regard to race, color, age, sex, marital status, veteran status, religion, creed, national origin, ancestry, or handicap.

General Information

Date of Application *

Date you can Start *

Salary Desired *

Name *

Date of Birth *

Current Street Address *

Current City, State, ZIP *

Previous Street Address

Previous City, State, ZIP

Cell Phone Number *

Home Phone Number

Are you prevented from becoming a lawfully employed in this country because of Visa or Immigration status? Proof of citizenship of immigration status is required by Federal Law and copies will be on file upon employment. *

Employment History

Have you ever applied to or been employed by Benchmark Construction before? *

If yes, give dates:

Are you employed now? *

If so, may we contact your present employer? *

Person to contact

Phone

If we cannot inquire of your present employer, please explain why

Are you currently on lay off and subject to recall? *

If employed, does your employment require you to continue working, or restrict your activities after leaving your current employment, for any period of time? *

If yes, until what date?

What qualifications, skills, or trainings do you have for the position(s) that you are applying for? *

Are you physically and mentally capable of performing the essential duties of the position for which you are applying? *

If No, please explain

Are you a veteran of the U.S. Military services? *

If yes, what branch?

Have you ever been convicted of a crime, other than a minor traffic violation, within the last ten years? *

If Yes, please describe.

Employment History Details

List below your last four employers, beginning with your current or most recent employer.

Employer 1

From *

To *

Name/Address/Phone/Contact of Employer *

Wage or Salary & Position Held *

Reason for Leaving *

Education

Enter your education history below

High School

Name and Address *

Years Attended/Dates Attended *

Did you graduate? *

Subjects Studied *

Trade, Business, or Technical School

Name and Address *

Years Attended/Dates Attended *

Did you graduate? *

Subjects Studied *

College or Other Special Study or Research

Name and Address *

Years Attended/Dates Attended *

Did you graduate? *

Subjects Studied *

References

Give the names of four persons, not related to you, whom you have known at least one year

Reference 1

Name *

Address *

Phone *

Occupation and number of years acquainted *

Resume and Cover Letter

Optional. Upload PDF files only. Each file must be 5 MB or smaller.

Resume

Cover Letter

Applicant's Certification and Authorization

Please Read This Statement Carefully

I understand and agree that, if I am employed by Benchmark Construction, my employment is for no definite period of time and can be terminated, with or without cause or notice at any time, at the option of either Haugh Construction, Inc. DBA Benchmark Construction, or myself.

I further agree to take any lawful medical or physical examination required by Haugh Construction, Inc., before or after I am hired, as a condition of my continued employment. I also agree that my refusal to take any such lawful examination may be cause for termination of my employment offer. I further understand that Haugh Construction, Inc. does not require a pre-employment drug test for illegal substances, and that Haugh Construction, Inc. will not hire any applicant who tests positive or any applicant who refuses to consent to a pre-employment drug test. I further understand that an employee who tests positive for illegal drugs or alcohol usage during working hours, or who refuses to consent to drug and alcohol testing, is subject to discharge.

I release all persons or companies conducting any lawful medical or physical examination from any liability.

I certify that the facts contained in this application are true and complete. I understand that, if I do become employed by Haugh Construction, Inc. that any false information I may have provided on this application shall be grounds for my dismissal. I also understand that I am required to abide by all rule and regulations of Haugh Construction, Inc.

Also, by signing this application, I give Haugh Construction, Inc. permission to contact my current and/ or previous employers and also any references that I have listed.

Applicant’s Signature *

Date *

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