Job Application

For over 20 years at D. Larson Construction, Inc. we have prided ourselves in the highest quality of work and customer service. We expect our employees to take pride in their work, be professional, have a positive attitude, punctual, and ready to work. If this describes you we would like to hear from you by applying below.

General Information

First Name*

Last Name*

Initial

Social Security No.

Address

Telephone Number

Position Applying For:

Salary Desired

Date Available:

Hours of operation M-F 7AM to 3:30PM (this could change with projects)

Employment Type

If hired, will you be able to work overtime?

Are you at least 18 years of age?

If under 18, do you have a work permit?

Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which has not been annulled, expunged or sealed by court?

A yes response does not automatically disqualify your application. If yes, please explain.

Are you able to perform the essential job functions of the position you are applying with or without reasonable accommodations?

Education Information

School

Address

Major Studies Degree, Diploma, License or Certificate (List type and date)

High School

Vocation/Business/Other

College/university

Graduate

Other Special Knowledge, Skills or Qualifications (list any construction or manufacturing equipment, office skills, technical equipment or training)

Military Service (list dates, ranks and training)

Employment History

List all employers, starting with the most recent position. All information must be completed. You may attach a resume, but not in place of completing the required information.

Is this your current employer?

May we contact this employer for references?

Employed From

Employed To

Job Title

Starting Salary

Ending Salary

Employer Name

Employer Address

Supervisor’s Name

Supervisor’s Phone

Job Duties and Responsibilities

Reason for Leaving

Next Most Recent Employer

Is this your current employer?

May we contact this employer for references?

Employed From

Employed To

Job Title

Starting Salary

Ending Salary

Employer Name

Employer Address

Supervisor’s Name

Supervisor’s Phone

Job Duties and Responsibilities

Reason for Leaving

Next Most Recent Employer.

Is this your current employer?

May we contact this employer for references?

Employed From

Employed To

Job Title

Starting Salary

Ending Salary

Employer Name

Employer Address

Supervisor’s Name

Supervisor’s Phone

Job Duties and Responsibilities

Reason for Leaving

Other Information.

Volunteer Activities (list organization, type of service, dates)

Hobbies & Interests

Certification & Authorization.

Signature

Date