Employment Application Your cooperation in completing this employment application fully and accurately will supply us with information required for our records. All persons shall have the opportunity to obtain employment without discrimination because of race, color, religion, national origin, citizenship, sex, age, disability/handicap, veteran status, military status, or other impermissible data.Note: Fields marked with a * are required.If you are looking for information on our internship program, please click here.NameFirst Name:*Last Name:*Middle Initial*Address and TelephoneAddress:*City:*State*Zip:*Telephone Number:*E-mail Address:*Previous AddressDate From Date Format: MM slash DD slash YYYY Date To: Date Format: MM slash DD slash YYYY Address:City:State:Zip:Country:PositionPosition Desired:*Choose one...Project ManagerSuperintendentForemanCarpenterConcreteEquipment Operator / DriverWelder / Steel ErectorDrywallPainterLaborerAdministrative & ClericalOther;If other, please explain:What unique skills do you bring to this position:*Salary Requirements:*Date available to begin work:*Date of application:*Are you over the age of 18 years?*Choose one...YesNoAre you legally authorized to work in the U.S.?*Choose one...YesNoAre you capable of performing the essential functions of this position?*Choose one...YesNoHave you previously worked for Langford & Low?*Choose one...YesNoHave you served in the armed forces?*Choose one...YesNoIf yes, which branch:Do you have any outside commitments that might affect your employment with us?*Choose one...YesNoIf yes, please explain:Are you able to work nights if required?*Choose one...YesNoAre you able to work weekends if required?*Choose one...YesNoDo you possess a valid driver's license?*Choose one...YesNoAre you willing to travel for work?*Choose one...YesNoDo you have reliable transportation?*Choose one...YesNoIf no, please explain:EducationHigh School or GEDSchool Name and Address:*Highest Grade Completed:*Graduated?*Choose one...YesNoCollegeSchool Name and Address:Course of Study:Years Completed:Graduated?Choose one...YesNoDegree Earned:Graduate SchoolSchool Name and Address:Course of Study:Years Completed:Graduated?Choose one...YesNoDegree Earned:Technical SchoolSchool Name and Address:Course of Study:Years Completed:Graduated?Choose one...YesNoDegree Earned:Employment HistoryBy completing this application, I authorize Langford and Low to contact my previous employers and other references provided on my application. I also authorize my previous employers and my references to give any information regarding my previous employment or other qualifications for the position for which I have appliedPlease list your last three (3) positions held at previous employers.Have you been unemployed for two months or more?*Choose one...YesNoEmployer 1Employer's Name:*Address:*Job Title:*Responsibilities:*Starting Date:*Ending Date:*Supervisor's Name:*Supervisor's Phone #:*Reason for Leaving:*Employer 2Employer's Name:Address:Job Title:Responsibilities:Starting Date:Ending Date:Supervisor's Name:Supervisor's Phone #:Reason for Leaving:Employer 3Employer's Name:Address:Job Title:Responsibilities:Starting Date:Ending Date:Supervisor's Name:Supervisor's Phone #:Reason for Leaving:Professional ReferencesDo not list a relative or anyone in the service of Langford & LowReference 1Full Name of Reference:*Address:*Telephone Number:*Connected with what business:*Position:*Reference 2Full Name of Reference:Address:Telephone Number:Connected with what business:Position:Reference 3Full Name of Reference:Address:Telephone Number:Connected with what business:Position:General InformationHave you been convicted, pleaded guilty or pleaded nolo contendere to a felony?*Choose one...YesNoHave you been convicted, pleaded guilty or pleaded nolo contendere to a crime involving dishonesty?*Choose one...YesNoIf YES to either question, please provide date, place and nature of conviction. ** Please note that conviction will not necessarily bar you from being considered for employment.How did you hear about the job opening?Choose one...Friends or FamilyNewspaperOnlineOtherIf you chose other, please specify:Are you looking to be employed:*Choose one...Full-timePart-timeSeasonalDo you have interests or hobbies related to this position?Is there any other relevant information we should know about?What would you like to achieve by working at Langford & Low? By submitting this application, I am certifying that the information contained in the application is true and accurate. I understand that any false statements, omissions, or misrepresentations in this application may result in my failure to be considered for employment, or if I have been hired, in my immediate termination. I acknowledge that if employed, I will be an "employee at will," and that both Langford and Low and I will have the right to terminate my employment at any time, with or without cause.Date Date Format: MM slash DD slash YYYY CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
