Join the Team.Application for Employment. * Indicates a required field. Date of Application MM DD YYYY Position * Name (Last, First, Middle) * Phone Number * (###) ### #### Email * Address* (Street, City, State, Zip) * Driver’s License* (#, State, Exp,) * Languages Spoken Fluently (other than English) Veteran? If Yes please elaborate. As an adult have you ever been convicted for an offense other than minor traffic violation? If Yes please elaborate. * How did you find out about this job? Do you have friends or family working at Thomas Carroll, LLC? If Yes please elaborate._ Do you have any disabilities? If Yes please elaborate. Sex Age Do you have reliable transportation?_ Yes No Do you have your I-9 work status information? Yes No What’s your desired pay rate? What is your first date available? Work Skills Experience (Select all that apply): Trackhoe Operator Dozer Operator Motor Grader Pipelayer Heavy Equipment Mechanic Welder CDL Truck Driver Concrete Finisher Land Clearing Soil Cement Water Systems Sewer Systems Drainage Systems List other experience that applies. Did you graduate from high school? Yes No EMPLOYMENT HISTORY Resumes will not be accepted in place of a completed application. Complete all questions and respond to all requirements listed. Describe different positions held with the same employer. List your most recent experience first. EMPLOYER 1 Company Name * Address (Street, City, State, Zip) * Phone Number * (###) ### #### Job Title / Description of Duties * Reason for Leaving * Salary * Hours Per Week * Beginning Date * End Date EMPLOYER 2 Company Name Address (Street, City, State, Zip) Phone Number (###) ### #### Job Title / Description of Duties Reason for Leaving Salary Hours Per Week Beginning Date Ending Date EMPLOYER 3 Company Name Address (Street, City, State, Zip) Phone Number (###) ### #### Job Title / Description of Duties Reason for Leaving Salary Hours Per Week Beginning Date Ending Date ACKNOWLEDGMENT I hereby give Thomas Carroll, LLC the right to make a thorough investigation of my past employment, education and activities, and I release from all liability all persons and companies, schools and corporations who supply such information. I indemnify Thomas Carroll, LLC against any liability, which might result from making such investigation. I agree that Thomas Carroll, LLC may obtain a consumer report or other information regarding me and may consult others for my credit report. I understand that any false answer or statements or implications made by me in this application or other required documents shall be considered sufficient cause for denial of employment or discharge. Additionally, I understand that nothing contained in this employment application or in the granting of an interview is intended to create an employment contract between Thomas Carroll, LLC and myself from either employment or for the providing of any benefit. No promises regarding employment have been made to me and I understand that no such promise or guarantee is binding upon Thomas Carroll, LLC unless made in writing. If an employment relationship is established, I understand that I have the right to terminate my employment at anytime and Thomas Carroll, LLC retains a similar right, with or without cause. I hereby certify that I have reviewed the foregoing information supplied by me and that to the best of my knowledge is true and complete. I hereby authorize a physician of Thomas Carroll, LLC’s choice to perform a physical examination and a urine drug screen test on me and to report these findings to the personnel department and / or all necessary persons. I Agree * Yes, I agree. Full Name * Intials * Email * Thank you!
