Application for Employment

Thank you for your interest in employment at Frank Silha & Sons Excavating, Inc., an Equal Opportunity Employer. Silha & Sons and it’s operating engineers are members of the Union Local 139. Below is a list of positions we are currently recruiting for:

SCALE HOUSE OPERATOR - Part-time various days Monday through Friday, April to November

Personal Information

Last Name

First Name

Middle Name

Address

Address 2

City

State

Zip

Email Address

Home Phone

Cell Phone

Referred By

Are you 18 years of age or older?

Employment Desired

Position

Date You Can Start

Desired Salary

Are you employed now?

If so, may we inquire of Your Present Employer?

Ever applied to this company before?

If yes, when?

Education

High School

Name and Location of School

Select years completed

Did you graduate?

Subjects Studies and Degree(s) Received

College

Name and Location of School

Select years completed

Did you graduate?

Subjects Studies and Degree(s) Received

Trade, Business or Correspondence School

Name and Location of School

Select years completed

Did you graduate?

Subjects Studies and Degree(s) Received

General

Do you belong to a union?

If yes, Which one?

Do you have a CDL License?

If yes, List class & endorsements

Job related Skills (certifications, licenses)

Activities other than religious, Civic, Athletics Exclude Organizations, the name or character of which indicates the race, sex, color or national origin of its members.

Former Employers

List below your last three employers, starting with the last one first.

Employer 1

Date Started

Date Ended

Name and address of employer

Reason for leaving

Employer 2

Date Started

Date Ended

Name and address of employer

Reason for leaving

Employer 3

Date Started

Date Ended

Name and address of employer

Reason for leaving

References

List below two persons not related to you, whom you have known at least one year.

Reference 1

Name

Address

Phone Number

Years Aquainted

Reference 2

Name

Address

Phone Number

Years Aquainted

If you are to be hired by the company, you will be required to attest to your identity and employment eligibility, and to present documents confirming your identity and employment eligibility. You cannot be hired if you cannot comply with these requirements.

Authorization

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 on this application is sufficient cause for refusal to hire, or dismissal if I have been employed, no matter when discovered by the Company.

I understand that any employment is conditioned on a background check. I authorize the Company to thoroughly investigate all statements contained in my application or resume, and I authorize my former employers and references to disclose information regarding my former employment, character and general reputation to the Company, without giving me prior notice of such disclosure. In addition, I release the Company, any former employers and all references listed above from any and all claims, demands or liabilities arising out of or related to such investigation or disclosure.

I understand and agree that nothing contained in this application, or conveyed during any 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 without cause and without prior notice, at the option of either myself or the Company. No promises regarding employment have been made to me, and I understand that no such promise or guarantee is binding upon the Company unless made in writing.

If I am offered employment I agree to submit to a medical examination and drug test before starting work. If employed, I also agree to submit to a medical examination or drug test at any time deemed appropriate by the Company and as permitted by law. I consent to such examination and tests, and I request that the examining doctor disclose to the Company the results of the examination, which results shall remain confidential and segregated from my personnel file. I understand that my employment or continued employment, to the extent permitted by law, is contingent upon satisfactory medical examinations and drug test, and if I am hired a condition of my employment will be that I abide by the Company’s Drug and Alcohol Policy.

I understand that filling out this form does not indicate there is a position open and does not obligate the Company to hire. If hired, I agree to abide by all Company work rules, policies and procedures. The Company retains the right to revise it’s policies or procedures, in whole or in part, at any time.

Date

Signature