Employment Application
PERSONAL INFORMATION
*Last Name: *First Name: *Middle Name
*Phone: Mobile/Pager/Other: Email Address:
Date of Birth:  
Salary Requirement: *Date Available To Start:
* Driver’s license number: *State:
*If you are under 18 Scheftic Construction requires a work permit, Can you furnish one?      Yes No NA
If no, please explain:     
*Are you a citizen of the United States Of America?     Yes No
If not, are you legally allowed to work in the United States?     Yes No
*Type of employment desired:     Full-Time   Part-Time   Temporary   Seasonal
*Have you ever pled “guilty,” “no contest,” or been convicted of a crime?      Yes No
If yes, give dates and details:
PRESENT ADDRESS
*Street Address: *City: *State: *Zip:

Answering “yes” to these questions does not constitute an automatic rejection for employment. Date of the offense, seriousness and nature of the violation, rehabilitation, and position applied for will be considered.
SUMMARIZE YOUR SPECIAL SKILLS OR QUALIFICATIONS
CURRENT / PREVIOUS EMPLOYMENT (most recent)
Company:    
Dates of Employment: From: / (mm/yyyy) To: / (mm/yyyy)
Phone: Supervisor:
Title: Position(s) Held:
Address:    
Responsibilities:
Starting Salary:     Ending Salary:    
Reason for Leaving:
May we contact this employer for a reference?     Yes No
PREVIOUS EMPLOYMENT
Company:    
Dates of Employment: From: / (mm/yyyy) To: / (mm/yyyy)
Phone: Supervisor:
Title: Position(s) Held:
Address:    
Responsibilities:
Starting Salary:     Ending Salary:    
Reason for Leaving:
May we contact this employer for a reference?     Yes No
PREVIOUS EMPLOYMENT
Company:    
Dates of Employment: From: / (mm/yyyy) To: / (mm/yyyy)
Phone: Supervisor:
Title: Position(s) Held:
Address:    
Responsibilities:
Starting Salary:     Ending Salary:    
Reason for Leaving:
May we contact this employer for a reference?     Yes No
I certify that my answers are true and complete to the best of my knowledge. I authorize you to make such investigations and inquiries of my personal, employment, educational, financial, and other related matters as may be necessary for an employment decision. I hereby release employers, schools or individuals from all liability when responding to inquiries in connection with my application.
In the event I am employed, I understand that false or misleading information given in my application or interview(s) may result in discharge.
Please type your full legal name below
*Last: *First: Middle:
* Required Information