Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, marital or veteran status, or the presence of a non job-related medical condition or handicap.
Fields in red are required.
Position(s) Applied For:
Position 1
Position 2
Position 3
Date of Application:
Last Name:
First Name:
Middle:
Address 1
Address 2
City
State
Zip Code
Telephone 1
Telephone 2
How long have you lived in Marin County?
Are you prevented from lawfully becoming employed in this country because of Visa or immigration Status?
(Proof of citizenship or immigration status may be required upon employment)
Yes
No
Are you available to work:
(please check all that apply)
Full Time:
Part Time:
Shift Work:
Temporary:
How did you hear about Hicks construction?
Social Security#:
(This is a secure site)
Do you have any disabilities that would prevent you from working in construction?
Yes
No
If so, what reasonable accommodation can be made by us?
(A physical disability does not mean you will not be considered for the position.)
Why do you wish to work in construction?
Why do you wish to work for Jeff Hicks Construction?
Smoking on the job is prohibited. Will this be a problem?
Yes
No
EMPLOYMENT EXPERIENCE: Start with your present or last job. Include volunteer activities and military service assignments. Exclude organization's which indicate race, color, religion, or sex.
1. Employer
Employer Name:
Address:
Telephone:
Job Title:
Supervisor:
Employed From/To:
Hourly Rate/Salary:
Starting Rate/Salary:
Final Rate/Salary:
Duties:
Reason for Leaving:
2. Employer
Employer Name:
Address:
Telephone:
Job Title:
Supervisor:
Employed From/To:
Hourly Rate/Salary:
Starting Rate/Salary:
Final Rate/Salary:
Duties:
Reason for Leaving:
3. Employer
Employer Name:
Address:
Telephone:
Job Title:
Supervisor:
Employed From/To:
Hourly Rate/Salary:
Starting Rate/Salary:
Final Rate/Salary:
Duties:
Reason for Leaving:
EQUIPMENT
Tools:
Vehicle:
Do you currently have a drivers license?
Yes
No
If yes, please enter the number in below:
Are you willing to use your vehicle for work?
Yes
No
Do you have insurance?
Yes
No
EDUCATION
Name of High School:
Did you receive a diploma?
Yes
No
Name of College:
Degree or units completed:
Describe Specialized Training, Apprenticeship, Skills, and Extracurricular Activities:
AUTHORIZATION FOR INVESTIGATION OF STATEMENTS IN APPLICATION
In the event this application results in my employment by the Company. I will abide by the Company's rules, regulations and policies. I am aware that my employment is at will and that the Company may terminate my employment at any time with or without reason. Except in connection with my job duties for the Company; I agree that during the term of my employment with the Company and thereafter, I will neither reveal any confidential information or trade secrets to persons outside the Company; nor use such confidential information or trade secrets on my behalf or that of any other. My answers to the foregoing questions are ~iven to induce the Company to employ me and false statements will be considered sufficient cause for my dismissal in the event this application results in my employment. I understand the answers given by me are subject to verification and are true to the very best of my knowledge and belief. I authorize the investigation of all statements contained in this application.
By submitting this form I certify that the above answers are true and complete to the best of my knowledge, investigation authorized. I understand that false or misleading information on my application may result in discharge.
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