You may use the form below to apply for work. We consider applicants for all positions without regard to race, color, religion, creed, gender,
national origin, age, disability, martial or veteran status, or any other legally protected status. Simply fill in the requested information, including any comments or questions, and we will contact you as soon as possible.

  

Position Date
If other what position: 7/30/2010
How did you hear about us?
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Employment Agency Relative Other
Last Name First Name Middle Name
Street Address City State Zip
Phone Number Cell Number/Phone (2) Email Address
Are you prevented from lawfully becoming employed in this
country because of Visa or Immigration Status?
Proof of citizenship or immigration status will be required upon employment.		 Yes  No
   
Date available to  start work: When are you available for work:
Choose one... Full Time Shift
Part Time Times
Temporary  
Education
School Name of school Course of study Years Completed Diploma/Degree
High School
Undergraduate
College
Graduate/
Professional
Other:
Work Experience

Start with your present or last job. Include any job-related military service assignments and volunteer activities. You may
exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.
Employer

Dates Employed

Work Performed
Address

From

To

Telephone

Title

Hourly Rate/Salary
Supervisor

Start

Final
Reason For
Leaving

   
Employer

Dates Employed

Work Performed
Address

From

To

Telephone

Title

Hourly Rate/Salary
Supervisor

Start

Final
Reason For
Leaving

 
Employer

Dates Employed

Work Performed
Address

From

To

Telephone

Title

Hourly Rate/Salary
Supervisor

Start

Final
Reason For
Leaving

Comments/Additional Information

By clicking the submit button below I certify that answers given herein are true and complete.
I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision.
This application for employment shall be considered active for a period of time not to exceed 45 days. Any applicant wishing to be
considered for employment beyond this time period should inquire as to whether or not applications are being accepted at that time.
I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this
organization is of an “at will” nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization.
In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in
discharge. I understand, also, that I am required to abide by all rules and regulations of the employer.

 

Copyright 2003 Keystone Excavators, Inc.
371 Scarlet Blvd. Oldsmar, Florida 34677
Phone: 813-854-2342
Fax: 813-854-2993
info@keystoneexcavators.com
http://www.keystoneexcavators.com