Employment Application

Name*

Telephone Number*

Email*

Address*

How long have you lived at the above address?

Previous address

Driver’s License Number

State of Issue

Position Applying For*

Are you seeking Full or Part Time Employment

Full Time

Part Time

Date Available, if Hired

MM slash DD slash YYYY

How did you hear of this position?

EDUCATION

High School

City/State

Did you Graduate?

Yes

College

City/State

Did you Graduate?

Yes

Degree

Other (specify)

City/State

Did you Graduate?

Yes

Degree

PRIOR WORK HISTORY

Please list in order, present employer first then previous employers

Present Employer

Name and Address of Previous Employer

Phone Number

Date From

MM slash DD slash YYYY

Date To

MM slash DD slash YYYY

Supervisor’s Name and Title

Description of Work Performed, in Detail

Reason for Leaving

Previous Employer 1

Name and Address of Previous Employer

Phone Number

Date From

MM slash DD slash YYYY

Date To

MM slash DD slash YYYY

Supervisor’s Name and Title

Description of Work Performed, in Detail

Reason for Leaving

Previous Employer 2

Name and Address of Previous Employer

Phone Number

Date From

MM slash DD slash YYYY

Date To

MM slash DD slash YYYY

Supervisor’s Name and Title

Description of Work Performed, in Detail

Reason for Leaving

Unless otherwise noted here, we will contact all previous employers

Are there any other experiences, skills or qualifications, any OSHA certifications and/ or equipment certifications that you currently hold which you feel would especially fit you for working with our company?

If hired, do you have reliable means of transportation to get to work?

Yes

REFERENCES

Please list three professional references. (no relatives)

Reference One

Full Name

Relationship

Company

Phone

Address

Reference Two

Full Name

Relationship

Company

Phone

Address

Reference Three

Full Name

Relationship

Company

Phone

Address

Have you previously worked for J.F. Scott?

If so, what position and what dates?

If offered employment, will you agree to abide by our Drug & Alcohol Policy?

Are you at least 18 years of age?

Yes

Do you have any physical limitations?

Yes

We are a construction company that works throughout the State of Maine. Please note, if hired you will be expected to travel, please initial to confirm you understand this fact. If you have any restrictions or comments concerning travel, please note here:

Do you have any questions concerning our company that we may answer for you? These will be reviewed during the interview process

We are an Equal Opportunity Employer.

The facts set forth above in my application for employment are true and complete. I understand that false statements or material omissions on this application shall be grounds for not offering employment or shall be considered sufficient cause for dismissal if the falsification is discovered after being employed. I understand that all jobs that I may be offered at J.F. Scott Construction are jobs where the employment relationship will be “at will” (i.e. my employment may be terminated at any time by the company for any reason or I may quit at any time for any reason). I certify that no agent or employee for the company has said anything to make my potential employment relationship anything other than “at will”. I also authorize J.F. Scott Construction to do a complete background check for employment purposes.

Signature of Applicant

Date

MM slash DD slash YYYY

Employment Application

EDUCATION

PRIOR WORK HISTORY

REFERENCES

We are an Equal Opportunity Employer.

JF Scott Construction • A Maine Company

JF Scott Construction
A Maine Company

Employment Application

EDUCATION

PRIOR WORK HISTORY

REFERENCES

We are an Equal Opportunity Employer.

JF Scott Construction • A Maine Company

JF Scott Construction A Maine Company

JF Scott Construction
A Maine Company