Application for Employment

Applicant Note

This application form is intended for use in evaluating your qualifications for employment. This is not an employment contract. If employment is offered, it is strictly on an "at will" basis, which means that you may resign at any time, or Curry Construction, Inc. (CURRY) may terminate your employment at any time for no reason, or for any reason not prohibited by law. Please answer all appropriate questions completely and accurately. False or misleading statements during the interview and on this form are grounds for terminating the application process or, if discovered after employment, terminating employment. All qualified applicants will receive consideration without discrimination because of sex, marital status, race, age, creed, national origin or the presence of disabilities. A felony conviction will not necessarily bar an applicant from employment. Affirmative action hiring may be requested by qualified applicants. Additional testing of job-related skills and for the presence of drugs on your body may be required prior to employment. After an offer of employment, and prior to reporting to work, you are required to submit to a medical review. Depending on company policy and the needs of the job, you will be required to complete a medical history form and may be required to be examined by a medical professional designated by the company.
General Information
Name Social Security
Address Home Phone
City, State, ZIP Code Work Phone
Who referred you to CURRY? Have you previously applied at CURRY? Yes   No  
Availability
Position applied for: Requested Rate of Pay:
Full-Time Part-Time Temporary Date Available to Work:
Education
Level of Education Name of School / City & State Did you graduate? List Degrees
High School Yes No
College Yes No
Graduate School Yes No
Other (Specify) Yes No
Employment
Employer /
Address		 Supervisor /
Phone		 From Year /
To Year		 Position /
Salary		 Describe your job responsibilities:
Drivers License
Drivers License Number State of Issue Is your license currently valid? Yes   No  
Security
Have you ever been convicted of a felony?
Yes   No		 If so, please give details (incident, location, charge):   
References
Name Address Phone Years
Known		 Relationship
Comments
Release and ADR

In the event that the applicant agrees to accept a position with Curry Construction, the applicant and Curry Construction agree that the employment relationship between Curry Construction and the employee is an at will relationship and that the employment relationship and compensation can be terminated, with or without cause, and with or without notice at any time, at the option of either Curry Construction or the employee.

Digital Signature*   Date*   Email*   ©2008 Curry Construction, Inc.