Austin General Contracting, Inc.
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- Ira Spencer
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1 Employment Application Austin General Contracting, Inc. Applicant Information Last First M.I. Street Address Apartment/Unit # Date: City State ZIP Code Phone: ( ) Date Available: Last four of SS No: Desired Salary: $ Position Applied for: Are you a citizen of the United States? Have you ever worked for this company? Have you ever been convicted of a felony? If no, are you authorized to work in the U.S.? If so, when? If yes, explain: Education High School: From: To: Did you graduate? Degree: College: From: To: Did you graduate? Degree: Other: From: To: Did you graduate? Degree: Please list three professional references. References Relationship: Relationship: Relationship:
2 Previous Employment Supervisor: Job Title: Starting Salary: $ Ending Salary: $ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference? Supervisor: Job Title: Starting Salary: $ Ending Salary: $ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference? Supervisor: Job Title: Starting Salary: $ Ending Salary: $ Responsibilities: From: To: Reason for Leaving: May we contact your previous supervisor for a reference? Military Service Branch: From: To: Rank at Discharge: Type of Discharge: If other than honorable, explain: Are you a Veteran? Yes No Disclaimer and I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. : Date:
3 Austin General Contracting, Inc. Employment Verification Release To: (Insert each company s name AGC may contact) I,, request verification of my employment be to given Austin General Contracting. Please release my release my title, dates of employment, salary, and reason for leaving information. Date ( ) Telephone Number Dates: to Title: Salary: Reason for leaving: Rehire: Yes or No Return to: Human Resources 6440 S. Polaris Ave Las Vegas, NV Fax
4 Austin General Contracting, Inc. Employment Verification Release To: (Insert each company s name AGC may contact) I,, request verification of my employment be to given Austin General Contracting. Please release my release my title, dates of employment, salary, and reason for leaving information. Date ( ) Telephone Number Dates: to Title: Salary: Reason for leaving: Rehire: Yes or No Return to: Human Resources 6440 S. Polaris Ave Las Vegas, NV Fax
5 Austin General Contracting, Inc. Employment Verification Release To: (Insert each company s name AGC may contact) I,, request verification of my employment be to given Austin General Contracting. Please release my release my title, dates of employment, salary, and reason for leaving information. Date ( ) Telephone Number Dates: to Title: Salary: Reason for leaving: Rehire: Yes or No Return to: Human Resources 6440 S. Polaris Ave Las Vegas, NV Fax
6 AUSTIN GENERAL CONTRACTING, INC PRE-EMPLOYMENT DRUG/ALCOHOL TESTING CONSENT AND RELEASE FORM I hereby consent to submit to a drug or alcohol test and to furnish a sample of my urine, breath, and/or blood for analysis, as shall be determined by Austin General Contracting in order to meet with their policy regarding the selection of applicants for employment. I further authorize and give full permission to have the Company and/or its authorized agents and physicians to send the specimen or specimens so collected to a laboratory for a screening test for the presence of any prohibited substances under the policy, and for the laboratory or other testing facility to release any and all documentation relating to such test to the Company. I further agree to and hereby authorize the release of the results of said tests to the Company. I understand that it is the current use of illegal drugs that would prohibit me from being employed at this Company. I further agree to hold harmless the Company and its agents and physicians from any liability arising in whole or part, out of the collection of specimens, testing, and use of the information from said testing in connection with the Company's consideration of my application of employment. I further agree that a reproduced copy of this pre-employment consent and release form shall have the same force and effect as the original. I have carefully read the foregoing and fully understand its contents. I acknowledge that my signing of this consent and release form is a voluntary act on my part and that I have not been coerced into signing this document by anyone. APPLICANT: Print Name: S.S.#: : Date: WITNESS: Print Name: :
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