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CS Construction, Inc.

EMPLOYMENT APPLICATION

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.
Social Sec. Number *
Name*
	Last*		First*		Middle
Present Address*
	Street*		City *		State*	Zip*
Permanent Address
	Street		City		State	Zip
Phone No.*
Email
Referred by
Are you 18 years of age or older?			Select Yes No
DESIRED EMPLOYMENT
Position
Date you can Start
Salary Desired
Desired Locations
Skills, Licenses, and Qualifications
Accounting/Administation All other skills Asphalt Belly Dump Driver Carpenter CDL - Haz Mat CDL License Cement Masons Corporate Office Engineer Field Office Field Supervisor Laborer Mechanic Oil Tanker Driver Operator Quality Surveyor Technical Truck Drivers
Are you employed now?
If so may we contact your present employer?			Select Yes No
Have you applied at CS Companies before?			Select Yes No
If So, when?
If so, Where?
EDUCATION
High School	Name and Location
	Last Year completed	Select 9th 10th 11th 12th
	Did you Graduate?	Select Yes No
	Subjects Studied and Degrees Received
College	Name and Location
	Last Year completed	Select Fr So So Sr Mstrs Phd
	Did you Graduate?	Select Yes No
	Subjects Studied and Degrees Received
Trade School, Business, Correspondence	Name and Location
	Did you Graduate?	Select Yes No
GENERAL	Subjects of Special Study or Research Work
	Special Training/Skills
FORMER EMPLOYERS - List below your last 4 employers, starting with the last one first.
From (mo/dy/yr)
To (mo/dy/yr)
Employer Name			City, State, Zip Code		Telephone
Emp. St Address
Salary upon leaving
Position
Reason for Leaving
From (mo/dy/yr)
To (mo/dy/yr)
Employer Name			City, State, Zip Code		Telephone
Emp. St Address
Salary upon leaving
Position
Reason for Leaving
From (mo/dy/yr)
To (mo/dy/yr)
Employer Name			City, State, Zip Code		Telephone
Emp. St Address
Salary upon leaving
Position
Reason for Leaving
From (mo/dy/yr)
To (mo/dy/yr)
Employer Name			City, State, Zip Code		Telephone
Emp. St Address
Salary upon leaving
Position
Reason for Leaving
REFERENCES - List below three persons not related to you, whom you have known for at least one year.
Name
Address
Position
Years Acquainted
Name
Address
Position
Years Acquainted
Name
Address
Position
Years Acquainted
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 tha 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 risk" 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.* Date:* Initials:*

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