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Applicants and employees are considered for all positions and will not be subjected to adverse treatment with regard to race, color, religion, gender, national origin, age, marital or veteran status, medical condition or disability.
As employers/government contractors, we comply with government regulations and affirmative action responsibilities.
Solely to help us comply with government record keeping, reporting and other legal requirements, please fill out the Applicant Data Record. We appreciate your cooperation.
This data is for periodic government reporting and will be kept in a Confidential File separate from the application for employment.
Submission of information is voluntary
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We are an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including race, color, age, sex, religion, handicap, or national origin. |
PERSONAL INFORMATION
* Indicates a required field. |
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| Name* |
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Last* |
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First* |
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Middle |
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| Present Address* |
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Street* |
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City * |
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State* |
Zip* |
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| Permanent Address |
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Street |
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City |
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State |
Zip |
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| Phone No.* |
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| Email * |
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| Referred by * |
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| Are you 18 years of age or older? |
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| DESIRED EMPLOYMENT |
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| Position |
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Date you
can Start |
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| Salary Desired |
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| Desired Locations |
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| Skills, Licenses, and Qualifications |
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| Are you employed now? |
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| If so may we contact your present employer? |
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| Have you applied at CS Companies before? |
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| If So, when? |
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| If so, Where? |
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| EDUCATION |
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| High School |
Name and Location |
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Last Year completed |
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Did you Graduate? |
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Subjects Studied and Degrees Received |
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| College |
Name and Location |
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Last Year completed |
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Did you Graduate? |
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Subjects Studied and Degrees Received |
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| Trade School, Business, Correspondence |
Name and Location |
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Did you Graduate? |
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| GENERAL |
Subjects of Special Study or Research Work |
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Special Training/Skills |
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| FORMER EMPLOYERS - List below your last 4 employers, starting with the last one first. |
| From (mo/dy/yr) |
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| To (mo/dy/yr) |
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| Employer Name |
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City, State, Zip Code |
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Telephone |
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| Salary upon leaving |
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| Position |
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| Reason for Leaving |
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| From (mo/dy/yr) |
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| Employer Name |
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City, State, Zip Code |
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Telephone |
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| Salary upon leaving |
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| Reason for Leaving |
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City, State, Zip Code |
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| Salary upon leaving |
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| Reason for Leaving |
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| From (mo/dy/yr) |
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| Employer Name |
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City, State, Zip Code |
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Telephone |
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| Salary upon leaving |
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| Reason for Leaving |
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| REFERENCES - List below three persons not related to you, whom you have known for at least one year. |
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| Name |
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| Position |
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| Years Acquainted |
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| Years Acquainted |
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| Name |
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| Years Acquainted |
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If you are hired by CS Construction, Inc. you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility including but not limited to your 39 month driving record. You can not be hired if you can not comply with these requirements.
I certify that the facts contained in this application (and accompanying resume, if any) are true and complete to the best of my knowledge. I understand that any false statement, omission, or misrepresentation is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by CS Construction, Inc.
I understand and agree that nothing contained in this application, or conveyed during my interview, is intended to create an employment contract. I further understand and agree that if I am hired, my employment will be "at will" and without fixed term, and may be terminated at any time, with or with out cause and without prior notice, at the option of either myself or CS Construction, Inc. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon CS Construction, Inc. unless made in writing.
If I am offered employment, I agree to submit to a medical examination and drug test before I start work. If employed, I agree to submit to a medical examination or drug test at any time deemed appropriate by CS Construction, Inc. and as permitted by law. I consent to such examinations and tests, and I request that the examining doctor disclose to CS Construction, Inc. the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment and continued employment, to be the extent permitted by law, is contingent upon satisfactory medical examination and drug test, and if I am hired a condition of my employment will be that I abide by the CS Construction, Inc's Drug and Alcohol Policy.
I agree that any claim or lawsuit relating to my service with CS Construction, Inc. or any of its subsidiaries must be filed no more than six (6) months after the date of the employment action that is the subject of the claim or lawsuit. I waive any statute of limitatioons to the contrary.
If I am offered employment, I agree to travel to the designated job site(s) for this employment without additional compensation for travel related expenses.
I understand that filling out forms does not indicate there is a position open and does not obligate CS Construction, Inc. to hire. If hired I agree to abide by all company work rules, policies and procedures. CS Construction, Inc. retains the right to revise its policies or procedures in whole or part, at any time.
I accept the terms as outlined above.*
Invitation to self-identify: When the invitation to self-identify is being extended to disabled veterans prior to an offer of employment, as is permitted in limited circumstances under 60-250.42(a)(1) and (2), paragraph 7(ii) of 41 CFR 60-250 Appendix B, 60-300.42(a)(1) and (2), paragraph 7(ii) of 41 CFR 60-300 Appendix B, relating to identification of reasonable accommodations, should be omitted. This will avoid a conflict with the EEOC's Americans with Disabilities Act (ADA) Guidance, which in most cases precludes asking a job applicant (prior to a job offer being made) about potential reasonable accommodations.
(read full document)
Date:*
Initials:*
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