Careers | Extreme Demolition & Land Clearing

Date of Application*

Last Name*

First Name*

Middle Name

Street Address*

Address Line 2

City*

State*

Zip*

Phone Number*

Other Number

Email Address*

Date of Birth*

Are you authorized to work in the United States*

Yes No

Federal Law requires that employers hire only individuals who are authorized to be lawfully employed in the United States. In compliance with these laws, Extreme Demolition & Land Clearing, LLC will verify the status of every individual offered employment with the company. In this connection, all offers of employment are subject to verification to the applicant’s identity and employment authorization, and it will be necessary for you to submit such documents as are required by law to verify your identification and employment authorization.

Have you ever been employed here before?*

Yes No

Do you have any family that currently works here?*

Yes No

Are you under the age of 18?*

Yes No

If yes, can you furnish a work permit?*

Yes No

Are you capable of performing the essential functions of the job for which you are applying with or without a reasonable accommodation?*

Yes No

Type of Employment Desired?*

Full Time Part Time Temporary

Date available for work*

Date Available*

What schedule would you prefer?*

Weekdays Weekends Evenings Nights

Desired Pay?

Hourly Pay

Annual Pay

In what local area do you prefer to work?*

Do you have a clear driving record?*

Yes No

If NO, please explain*

Have you been convicted on a Felony?*

Yes No

If YES, please explain*

Do you have transportation to and from work?*

Yes No

Do you have your own transportation, or do you depend on others to get to work? Please explain*

Will you be able to work occasional out of town jobs and weekends?*

Yes No

If NO, please explain*

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Provide the following information for your past three employers.

No Employment History

Employer 1

Start Date*

End Date*

Employer Name*

Employer Phone*

Job Title*

Employer Street Address*

Address Line 2

Employer City*

Employer State

Zip*

Immediate Supervisor Name and Title*

Nature of Work*

Reason for Leaving*

Type of Business*

Termination*

Voluntary Involuntary

Reason for Termination*

Employer 2

Start Date*

End Date*

Employer Name*

Employer Phone*

Job Title*

Employer Street Address*

Address Line 2

Employer City*

Employer State

Zip*

Immediate Supervisor Name and Title*

Nature of Work*

Reason for Leaving*

Type of Business*

Termination*

Voluntary Involuntary

Reason for Termination*

[x]

Employer 3

Start Date*

End Date*

Employer Name*

Employer Phone*

Job Title*

Employer Street Address*

Address Line 2

Employer City*

Employer State

Zip*

Immediate Supervisor Name and Title*

Nature of Work*

Reason for Leaving*

Type of Business*

Termination*

Voluntary Involuntary

Reason for Termination*

[x]

+ Add Another Employer

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Skills & Qualifications

Education

Name of School*

Education City*

Education State*

Years Completed*

Did You Graduate?*

Degree / Diploma / GED / Certificate*

Education 2

Name of School*

Education City*

Education State*

Years Completed*

Did You Graduate?*

Degree / Diploma / GED / Certificate*

[x]

Education 3

Name of School*

Education City*

Education State*

Years Completed*

Did You Graduate?*

Degree / Diploma / GED / Certificate*

[x]

+ Add Another School

Professional DesignationS

Designation

Organization Granting Designation

Date Completed

Designation

Organization Granting Designation

Date Completed

Professional Licenses

Type of License

Start Granting License

License Number

Type of License

Start Granting License

License Number

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Persons not related to you who are familiar with your experience, training and character. Examples: employers, supervisors, teachers or co-workers.

Reference 1

Reference Name*

Reference Phone*

Years Known*

Reference 2

Reference Name*

Reference Phone*

Years Known*

Reference 3

Reference Name*

Reference Phone*

Years Known*

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Attach your resume in Word (*.doc, *.docx) or PDF (*.pdf) format.

I understand that if I am employed, any misrepresentation or material omission made by me on this application will be sufficient cause to warrant immediate discharge from employment whenever it is discovered.

I give Extreme Demo and Land Clearing the right to contact and obtain information from all references, employers and educational institutions, and to otherwise verify the accuracy of the information contained in this application. I hereby release Banks Remodeling or representatives from any and all liability connected with seeking, gathering and using such information, as well as any and all other persons, corporations or organizations for furnishing such information.

I certify that I have read and fully understand the preceding disclaimer

Signature*

Date*

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