Job Application

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Don S. Cisle Contractor, Inc. is an equal opportunity employer and does not discriminate against applicants or employees on the basis of sex, race, color, religion, national origin, ancestry or age (40 years of age and over). In addition, Don S. Cisle Contractor, Inc. does not discriminate again qualified individuals with disabilities.*
General
Name
 Social security #
Street address
 City
 State
 Zip code
Telephone #
 Work/mobile/other
 Email address
Position(s) applied for
 Date available to start
 Are you over 18 years of age? (Y/N)
Have you ever been convicted of a violation of the law other than a minor traffic violation? If yes, please explain.
Have you applied to work with us before? If yes, when?
Are you are willing to work an irregular schedule, overtime, on different shifts, and on weekends when necessary? If no, please explain.
Do you do have access to adequate transportation to travel to and from work? If no, please explain.

Education
High School (name)
 Yrs. Completed
 Graduate
 Major
Street address
 City
 State
 Zip code
College (name)
 Yrs. Completed
 Graduate
 Major
Street address
 City
 State
 Zip code
Other (specify)
 Yrs. Completed
 Graduate
 Major
Street address
 City
 State
 Zip code

Employment history
Employer
 Start date
 End date
Street address
 City
 State
 Zip code
Immediate supervisor and title (for most recent position held)
Positions held
 Salary
Why did you leave?
Summarize the type of work performed and job responsibilities
Employer
 Start date
 End date
Street address
 City
 State
 Zip code
Immediate supervisor and title (for most recent position held)
Positions held
 Salary
Why did you leave?
Summarize the type of work performed and job responsibilities
Employer
 Start date
 End date
Street address
 City
 State
 Zip code
Immediate supervisor and title (for most recent position held)
Positions held
 Salary
Why did you leave?
Summarize the type of work performed and job responsibilities
Employer
 Start date
 End date
Street address
 City
 State
 Zip code
Immediate supervisor and title (for most recent position held)
Positions held
 Salary
Why did you leave?
Summarize the type of work performed and job responsibilities

U.S. Military Service
Branch
 Highest Rank Achieved
 Served from
 To
Duties

In Case of Emergency Notify
Name
 Relationship
 Telephone number
Street address
 City
 State
 Zip code

Other Experience or Qualifications
Elaborate on duties associated with positions listed above

* In your particular jurisdiction state or local laws may protect against discrimination on account of sexual orientation or marital status. Contact your legal advisor to determine whether these types of discrimination should be included in your application.
Certification and Authorization--Please read thoughtfully

I certify that all facts contained in the application are true and complete and acknowledge that Cisle is relying on the accuracy of the information provided. I authorize former employers, educational institutions and credit agencies to release information concerning me to Cisle. I also authorize Cise to give references and provide information about me in response to inquiries subsequent to my employment if hired. I understand that falsification, misrepresentation or omission of requested facts may result in denial of employment or, if employed, may result in immediate dismissal. I understand and agree that, if hired, my employment will be for no definite period and may, regardless of the date of payment of wages, be terminated at any time without previous notice and with or without reason, at the will of either myself or Cisle. I also understand and agree that no one has authority to promise me job security and continued employment, except the CEO of the Company in a formal written agreement signed by both of us.
By submitting this electronic form, you agree to the terms stated above.