Employment Application

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Applicant Information

Name*

First Last

Home Phone*

Mobile Phone*

Email*

Address*

Street Address City State ZIP Code

How were you referred to George Nice & Sons, Inc?

Indeed.com

Zip Recruiter

Facebook

Friend/Employee

Other

Referring Employee Name

Please tell us where you found us

Employment Positions

What position are you applying for?*

Are you applying for:*

Temporary work – such as summer work

Regular full-time work

Start Date*

End Date*

If hired, on what date can you start working?*

MM slash DD slash YYYY

Are you able to work on the weekends?

Yes

Are you available to work overtime?

Yes

Salary Requirements:

Personal Information

Have you ever applied to/worked for the Company before?*

Yes

If yes, please explain (include date):

Do you have any friends, or relatives working for the Company?*

Yes

If yes, state name & relationship:

Do you have a valid driver’s license?*

Yes

If yes, please give state issued by

and DL number

If hired, would you have regular transportation to/from work?*

Yes

Are you over the age of 18?*

Yes

If hired, would you be able to present evidence of your U.S. citizenship or proof of your legal right to work in the United States?*

Yes

If hired, are you willing to submit to and pass a controlled substance test and background check?*

Yes

Consent

I acknowledge that the activities required to be performed on a daily bases include, but are not limited to:

Heavy lifting (100+ lbs.)

Manual labor (shoveling, raking, etc.)

Operating power tools (chainsaw, jackhammer)

Driving company vehicles (if approved by Insurance Co.

Working around utilities (Va. Power lines, cables, etc.)

Working with chemicals (concrete mixes, gas mixtures, etc.)

Using hand tools (hammers, screw drivers, etc.)

Working with hazardous materials (gasoline, oil, etc.)

Working around sewage (septic waste)

Able to use respirator if required

Are you able to perform the essential functions of the job for which you are applying, either with/without reasonable accommodation?*

Yes

If no, describe the functions that cannot be performed:

Have you ever been convicted of a criminal offense (felony or misdemeanor)?*

Yes

If yes, please explain

Education, Training and Experience

High School

School Name

School City

School State

State

Did you graduate?*

Yes

Degree/Diploma earned:

College/University

College Name

College City

College State

State

Did you graduate?*

Yes

Degree/Diploma earned:

Vocational School

School Name

School City

School State

State

Did you graduate?*

Yes

Degree/Diploma earned:

Military

Branch

Rank

Total Years of Service

Skills/Duties

Additional Information

Do you have any other experience, training, qualifications, or skills which you feel should be brought to our attention, in the case they make you especially suited for working with us?

Yes

If yes, please explain:

Employment History

Are you currently employed?*

Yes

If you are currently employed, may we contact your current employer?

Yes

Below, please describe past and present employment positions, dating back three years. Please account for all periods of unemployment. Please list most recent job first. Even if you have attached a resume, this section must be completed.

Employment A

Name of employer:

Name of supervisor:

Telephone number:

Business type:

Business Address

Please provide full address Including City, State and Zip code.

Position held:

Length of employment (include dates):

Duties:

Reason for leaving:

May we contact this employer for references?

Yes

Employment B

Name of employer:

Name of supervisor:

Telephone number:

Business type:

Business Address

Please provide full address Including City, State and Zip code.

Position held:

Length of employment (include dates):

Duties:

Reason for leaving:

May we contact this employer for references?

Yes

Employment C

Name of employer:

Name of supervisor:

Telephone number:

Business type:

Business Address

Please provide full address Including City, State and Zip code.

Position held:

Length of employment (include dates):

Duties:

Reason for leaving:

May we contact this employer for references?

Yes

Your resume (PDF or Word only)

Accepted file types: pdf, doc, docx, Max. file size: 256 MB.

Use this to upload your resume.

Please Read and Initial Each Paragraph, then Sign Below

Consent*

I certify that I have not purposely withheld any information that might adversely affect my chances for hiring. I attest to the fact that the answers given by me are true and correct to the best of my knowledge and ability. I understand that any omission

Consent*

I understand that if I am employed, my employment is not definite and can be terminated at any time either with or without prior notice, and by either me or the Company.

Consent*

I permit George Nice & Sons, Inc. to examine my references, record of my employment, education record, and any other information I have provided. I authorize the references that I have listed to disclose any information related to my work record

Applicant’s Signature:*

Consent

I agree that my typed name is my binding electronic signature.

George Nice & Sons, Inc. is an Equal Opportunity Employer and its policy is to provide equal employment without regard to race, color, religion, sex, age, national origin, disability or veteran’s status. This policy relates to, but is not limited to, all aspects of recruitment, employment, training, placement, promotion, demotion, transfer, layoff, recall, termination, rates of pay or other forms of compensation, and the use of all company facilities and participation in all Company sponsored employee activities.

This field is for validation purposes and should be left unchanged.

Applicant Information

Employment Positions

Personal Information

Education, Training and Experience

College/University

Vocational School

Military

Additional Information

Employment History

Employment A

Employment B

Employment C

Please Read and Initial Each Paragraph, then Sign Below

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Employment Application

Applicant Information

Employment Positions

Personal Information

Education, Training and Experience

College/University

Vocational School

Military

Additional Information

Employment History

Employment A

Employment B

Employment C

Please Read and Initial Each Paragraph, then Sign Below

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Latest Projects

LEGO