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1
For Office Use Only
Date Received:
Received By:
This Application form will be considered current for 60 days only. At the end of this period, if you
are still interested in employment, it will be necessary for you to reapply by completing a new
Application form. The employment relationship with employees is at-will and voluntary. This
Application is not a contract of employment. Jordon Construction Company, LLC is an Equal
Opportunity Employer. Please print or type. The application must be fully completed to be
considered. Please complete each section, even if you attach a resume.
Employment Application
Applicant Information
Date:
Last
First
M.I.
Street Address
Apartment/Unit #
City
State
ZIP Code
Home Phone:
Cell Phone:
Email Address:
Date Available:
Desired Salary per hour:
$
Desired Salary per year:
$
Position Applied for:
Days Available to Work
(Check all that Apply)
Mornings: Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Afternoons: Monday Tuesday Wednesday Thursday Friday Saturday Sunday
Evenings: Monday Tuesday Wednesday Thursday Friday Saturday Sunday
YES
NO
YES
NO
Do you possess a valid driver’s license?
Do you have reliable transportation?
Are you at least 18 years of age?
Are you authorized to work in the U.S.?
2
We reserve the right to conduct a thorough background check on all finalists. A conviction (anything for which you have
been found guilty of or pled guilty of in a court of law or for which you entered a plea of no contest) will not necessarily
disqualify you from employment. However, failure to reveal information about these matters below (excluding minor traffic
violations) may disqualify you from employment.
YES
NO
Have you ever pled guilty or no contest to, or been convicted of, a misdemeanor or felony?
If yes, explain:
Education
Attach additional sheets, if necessary.
High School/ GED:
From:
To:
Did you graduate?
YES
NO
Diploma:
College:
From:
To:
Did you graduate?
YES
NO
Degree:
Business/Technical:
From:
To:
Did you graduate?
YES
NO
Degree:
Other:
From:
To:
Did you graduate?
YES
NO
Degree:
Other qualifications such as special skills, abilities or honors that should be considered:
Types of computers, software, and other equipment you are qualified to operate or repair:
Professional licenses, certifications or registrations:
Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to
bring to the employer’s attention:
3
References
Please list three professional references.
Full Name:
Relationship:
Company:
Phone:
Email Address:
Full Name:
Relationship:
Company:
Phone:
Email Address:
Full Name:
Relationship:
Company:
Phone:
Email Address:
Previous Employment
Account for all periods up to ten (10) years, including and periods of unemployment, self-employment, school
attendance, etc.; attach additional sheets if necessary; do NOT reference your resume.
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
Company:
Phone:
Address:
Supervisor:
Job Title:
Starting Salary:
$
Ending Salary:
$
Responsibilities:
From:
To:
Reason for Leaving:
4
Military Service
Branch:
From:
To:
Rank at Discharge:
Type of Discharge:
If other than honorable, explain:
Disclaimer and Signature
I certify that my answers to the foregoing questions are true and accurate, without any consequential omissions of
any kind whatsoever. I understand that if I am employed by Jordon Construction Company, LLC., any false,
misleading or otherwise incorrect statements made on this Application form or any online applications or
questionnaires or during any telephone or in-person interviews may be grounds for my immediate discharge.
I hereby authorize Jordon Construction Company, LLC to contact any company or individual it deems appropriate
in order to investigate my employment history, education, character and qualification, and I give my full and
complete consent to their revealing any and all information they wish, as a result of that investigation. In addition,
I hereby waive my right to bring any cause of action against Jordon Construction Company, LLC, or these
companies or individuals for defamation, invasion of privacy or any other reason, because of their statements.
I authorize Jordon Construction Company, LLC. to request any and all law enforcement agencies which have
information about me to release any history, record, or information concerning me maintained by that agency,
including but not limited to, the results of and reports concerning any investigations, any and all documentation, test
results or information of any type obtained from any source during the course of such investigations.
I agree that, if I am employed, I will abide by all the policies, rules and regulations of Jordon Construction Company,
LLC. I understand that the taking of drugs and alcohol tests, when given pursuant to policy, are a condition of
employment or continued employment and refusal to take such tests, when asked, may be grounds for my
immediate discharge.
I further acknowledge that no one in Jordon Construction Company, LLC is authorized to enter into any written or
verbal employment contracts with me, for any definite period of time, without the expressed written consent from
the President.
I ALSO UNDERSTAND THAT EMPLOYMENT AT JORDON CONSTRUCTION COMPANY, LLC IS “AT-WILL” AND
MAY BE TERMINATED BY MYSELF OR BY JORDON CONSTRUCTION COMPANY, LLC AT ANY TIME FOR
ANY REASON, OR NO REASON AT ALL, WITH OR WITHOUT NOTICE.
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Completed 11 January 2022

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