CareersEmployment Application Form It is the policy of Coastal Bend Demolition, Inc. to provide equal employment opportunities to all applicants and employees without regard to race, color, religion, gender, national origin, age, disability, veteran status, sexual orientation or any other legally protected status. In compliance with federal law, all persons hired will be required to undergo a background check to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document form upon hire. Furthermore a drug screening is mandatory for all hired employees. * denotes a required field Applicant Information:First Name* Middle Last Name* Email Job Position Applying for* How were you referred to our company?* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Daytime Phone*Evening Phone*Do you have a reliable form of transportation to work?* Yes No Are you 18 yrs or older?* Yes No Are you legally eligible for employment in the United States?* Yes No Availability for work: Select All Full Time Part Time Upload Driver's LicenseMax. file size: 256 MB.TWIC Card (If Applicable)Max. file size: 256 MB.EducationAdd High School?* Yes No High SchoolHigh School Name* Years Completed* Graduate/Degree?* Yes No Add College/University?* Yes No College/UniversityCollege/University Name?* Years Completed* Graduate/Degree?* Yes No Add Business/Technical?* Yes No Business/TechnicalInstitution Name?* Years Completed* Graduate/Degree?* Yes No Add Military Service?* Yes No Military ServiceDuty/Specialized Training:* List additional job-related training, skills or experience:ReferencesReferences*NameAddressTelephoneOccupationYears Known Give name, address and telephone number of professional references we may contact, who are not related to you and who have knowledge of your abilities.Employment HistoryApplicant SkillsSkillYears of Experience List any skills that may be useful for the job you are seeking and the number of years of experience.Employer #1Employer Name* Dates of EmploymentFrom date (Month/Year)* To date (Month/Year)* Job Title* Job Duties*Describe any tasks and responsibilities you had during this jobSupervisor Name May we contact?* Yes No Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneReason for Leaving* Add Second Employer?* Yes No Employer #2Employer Name* Dates of EmploymentFrom date (Month/Year)* To date (Month/Year)* Job Title* Job Duties*Describe any tasks and responsibilities you had during this jobSupervisor Name May we contact?* Yes No Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneReason for Leaving* Add Third Employer?* Yes No Employer #3Employer Name* Dates of EmploymentFrom date (Month/Year)* To date (Month/Year)* Job Title* Job Duties*Describe any tasks and responsibilities you had during this jobSupervisor Name May we contact?* Yes No Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneReason for Leaving* Add Fourth Employer?* Yes No Employer #4Employer Name* Dates of EmploymentFrom date (Month/Year)* To date (Month/Year)* Job Title* Job Duties*Describe any tasks and responsibilities you had during this jobSupervisor Name May we contact?* Yes No Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code PhoneReason for Leaving* Have you ever been convicted of a class A misdemeanor or felony?* Yes No (The existence of a criminal record does not constitute an automatic bar to employment):If yes, provide details:Other Employment InformationSummarize any other employment related to this job.Professional licenses, certifications, or registrations?All information provided by me is true and complete to the best of my knowledge. I understand omissions or misrepresentations may result in rejection of my application, or if employed, may result in subsequent dismissal. I authorize investigation of all statements contained in this application as necessary and any background check investigations in arriving at an employment decision. As part of the investigation, I authorize prior employers, educators and contacts to release requested information and agree not to hold them or their organization legally liable for released information pertaining to my application for employment at this organization. I understand that in the event I am employed, my employment shall be completely voluntary and may be terminated at any time by either myself or the company; no one can make a guarantee of employment. If employed, I agree to comply with all rules of the company as a condition of employment.
