Employment application

EMPLOYMENT APPLICATION
Meridian Commerical Construction, LLC, is an equal opportunity employer and does not discriminate against applicants or employees on the basis of sex, race, color, religion, national origin, ancestry, or age (40 years of age and over). In addition, Meridian Commercial Construction, LLC, does not discriminate against qualified individuals with disabilities.¹
PLEASE PRINT

1. 
   Name _____________________________________ Soc. Sec. No. _________________________
   

2. 
   Address ______________________________________________________________________________
   

3. 
   Telephone (Home) __________________________ (Business) ____________________________
   

4. 
   Position(s) applied for __________________________________________________________________
   

5. 
   Date available to start ___________________________________________________________________
   

6. 
   Are you over 18 years of age? ____________________________________________________________
   

7. 
   Have you ever been convicted of a violation of the law other than a minor traffic violation? ___________ If yes, please explain. ________________________________________________________________
   

8. 
   Have you applied to work with us before? _________ If yes, when. ______________________________
   

_____________________________________________________________________________________

9. 
   If hired, proof of your identity and employment eligibility in the United States must be established by appropriate documentation at the time you begin work at _______________________________________
   

10. 
    Are you willing to work an irregular schedule, overtime, on different shifts, and on weekends when necessary? _____________. If no, please explain. ____________________________________________
    

_____________________________________________________________________________________

11. 
    Do you have access to adequate transportation to travel to and from work? _________________________
    

If no, please explain. ____________________________________________________________________
Education

Number of Years

Name and Address Completed Graduate Major

High

School_____________________________________________________________________________________
College____________________________________________________________________________________
Other

(specify)____________________________________________________________________________________

_____________________________________________________________________________________

Employment History (most recent employment first)
Employer’s Position(s) Reason for

Dates Name and Address Supervisor Held Salary Leaving

1. $
to to

Your duties:
2. $
to to

Your duties:
3. $
to to

Your duties:
4. $
to to

Your duties:

U.S. Military Service
Branch ____________________________________________________________________________________
Highest Rank Achieved Dates of Service

_____________________________________________________ ______________ to ______________

Duties _____________________________________________________________________________________
___________________________________________________________________________________________

In Case of Emergency Notify:
Name _____________________________________________________________________________________
Telephone Number _________________________ Address ____________________________________
Relationship ________________________________________________________________________________


Other Experience or Qualifications (space can be used to elaborate on duties associated with positions listed above) ______________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________


Certification and Authorization --- Please read thoughtfully
I certify that all facts contained in the application are true and complete and acknowledge that Meridian Commercial Construction, LLC, is relying on the accuracy of the information provided. I authorize Meridian Commercial Construction, LLC, to verify the accuracy of the information provided herein, and I authorize former employers, educational institutions, and credit agencies to release information concerning me to Meridian Commercial Construction, LLC. I also authorize Meridian Commercial Construction, LLC, to give references and provide information about me in response to inquiries subsequent to my employment if hired. I understand that falsification, misrepresentation, or omission of requested facts may result in denial of employment, or, if employed, may result in immediate dismissal. I understand and agree that, if hired, my employment will be for no definite period and may, regardless of the date of payment of wages, be terminated at any time without previous notice and with or without reason, at the will of either myself or Meridian Commercial Construction, LLC. I also understand and agree that no one has authority to promise me job security or continued employment, except the President of the company in a formal written agreement signed by both of us.

____________________________________________________ ___________________________________

Signature of Applicant Date