Pre-Employment Application

Please fill out the form below or you can Download the form and mail it back to us at:

Gilbert & Fields Construction
615 S. Coit Street
Florence, SC 29501
phone: 843-669-3428
fax: 843-667-8489

PRE-EMPLOYMENT APPLICATION

Our company is an equal opportunity employer and will consider all applicants for all positions equally without regard to their race, age, color, religion, national origin, veteran status or any disability.

This application will be given every consideration, but its receipt does not imply that the applicant will be employed. Each question should be answered in a complete and accurate manner as no action can be taken on this application until all questions have been answered. I also understand that I may be required to complete additional testing to fulfill the application process. The company requests three (3) days advance notice for any accommodations necessary to complete the application process. The company will make every reasonable effort to provide an effective accommodation, if feasible.

Date:
MM slash DD slash YYYY
Name:
Home Telephone:
Present Address:
City:
State:
Zip:
Social Security #:
Are you over 21?
- Yes
- No
Are you employment authorized to work in the U.S. for any employer?
- Yes
- No
Have you ever been convicted of, plead guilty to, or served probation for any crime (excluding minor traffic violations) including DWI?
- Yes
- No
if yes, state the offense, location, date and disposition:
Do you have any obligations or other reasons which would limit your ability to travel or work overetime:
- Yes
- No
if yes, please explain:
Would you be willing to relocate?
- Yes
- No
Drivers License #:
State:
Type:
Employment Desired:
Are you seeking:
- Full-Time
- Part-Time
- Temporary or Summer Employment
Position Applied for:
Salary Desired:
Do you have any friends/relatives working for our company?
- Yes
- No
if yes, name:
Have you ever applied/worked for our company before?
- Yes
- No
if yes, please state when and where you applied and/or worked?
How did you learn of our company and/ or position?
Are you now or do you expect to be engaged in any other business or employment?
- Yes
- No
Are there any days or hours you would be unable or unwilling to work?
- Yes
- No
if yes, please specify those days or hours you would be unwilling to work:
Are there any reasons why you would be unable to perform the tasks involved in the position you are applying for?
- Yes
- No
if yes please state the reasons:
EDUCATION:
NAME & ADDRESS
COURSES STUDIED
High School
College
Trade School
Use the space below to describe why you are interested in working for our company. List those skills and abilities which you feel particularly qualify you for a position with us.
WORK HISTORY
List name of employers in consecutive order with present or last employer first. Account for all periods of time including military service and any periods of umployment. If self-employed, give firm name and supply business references.
PLEASE GIVE MONTH AND YEAR
DO NOT REFERENCE YOUR RESUME
LAST JOB 1st
FROM TO COMPANY NAME & ADDRESS NATURE OF BUSINESS PAY $
POSITION OR DUTIES REASON FOR LEAVING SUPERVISOR NAME SUPERVISOR PHONE
FROM TO COMPANY NAME & ADDRESS NATURE OF BUSINESS PAY $
POSITION OR DUTIES REASON FOR LEAVING SUPERVISOR NAME SUPERVISOR PHONE
FROM TO COMPANY NAME & ADDRESS NATURE OF BUSINESS PAY $
POSITION OR DUTIES REASON FOR LEAVING SUPERVISOR NAME SUPERVISOR PHONE
FROM TO COMPANY NAME & ADDRESS NATURE OF BUSINESS PAY $
POSITION OR DUTIES REASON FOR LEAVING SUPERVISOR NAME SUPERVISOR PHONE
Give three (3) references, not relatives or former employers:
NAME ADDRESS PHONE
NAME ADDRESS PHONE
NAME ADDRESS PHONE
I certify that my answers to the foregoing questions are true and correct without any consequential omissions of any kind whatsoever. I understand that if I am employed, any false, misleading, or otherwise incorrect statements made on this application form or during any interviews may be grounds for immediate discharge.

I hereby authorize the Company to contact any company or individual it deems appropriate to investigate my employment history, character and qualifications and I give my full and complete consent to their revealing any and all information they wish as a result of this investigation. In addition, I hereby waive my right to bring any cause of action against those individuals for defamation, invasion of privacy or any other reason because of their statements.

I AGREE THAT, IF I AM EMPLOYED, I WILL ABIDE BY ALL THE RULES AND REGULATIONS OF THE COMPANY. I UNDERSTAND THAT THE TAKING OF DRUGS AND ALCOHOL TESTS, WHEN GIVEN PURSUANT TO COMPANY POLICY, ARE A CONDITION OF CONTINUED EMPLOYMENT AND REFUSAL TO TAKE SUCH TESTS WHEN ASKED WILL BE GROUNDS FOR MY IMMEDIATE TERMINATION. I FURTHER UNDERSTAND THAT NOBODY IN THE COMPANY IS AUTHORIZED TO ENTER INTO ANY WRITTEN OR VERBAL CONTRACT OF EMPLOYMENT WITH ME FOR ANY DEFINITE PERIOD OF TIME WITHOUT THE CONSENT OF THE OWNER AND/OR PRESIDENT OF THE COMPANY. I ALSO UNDERSTAND THAT MY EMPLOYMENT IS “AT-WILL” AND MAY BE TERMINATED BY MYSELF OR BY THE COMPANY AT ANY TIME FOR ANY REASON OR NO REASON AT ALL, WITH OR WITHOUT PRIOR NOTICE.
SIGNATURE
DATE
MM slash DD slash YYYY

Pre-Employment Application

PRE-EMPLOYMENT APPLICATION

EDUCATION:

Site Links

Get In Touch!

Our Mission

NAME	ADDRESS	PHONE

NAME	ADDRESS	PHONE

NAME	ADDRESS	PHONE