Employment Application | Paulsen Construction

Name
First Last
Email
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Qualifications
If you are not a citizen, does your visa or immigration status allow you to work in the United States?*
- Yes
- No
*Proof of citizenship or satisfactory immigration status will be required upon employment.
Are you older than 18?
- Yes
- No
Have you been employed by Paulsen Construction before?
- Yes
- No
Have you ever been convicted of a felony?
- Yes
- No
If yes, please explain:
Do you have felony charges pending against you?
- Yes
- No
Are you willing to submit your driving record upon request?
- Yes
- No
Are you willing to participate in a drug testing program at any given time during employment?*
- Yes
- No
*Pre-employment drug testing is required
Are you employed now?
- Yes
- No
Who is your current employer?
May we contact your present employer?
- Yes
- No
When are you available to start?
Date Format: MM slash DD slash YYYY
What schedule are you available for?

Employment History
Employer #1
Contact Person
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Start Pay Rate
End Pay Rate
Describe title and type of work performed:
Reason for leaving
Employer #2
Contact Person
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Start Pay Rate
End Pay Rate
Describe title and type of work performed:
Reason for leaving
Employer #3
Contact Person
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Start Pay Rate
End Pay Rate
Describe title and type of work performed:
Reason for leaving

Acknowledgement Statement
I hereby state that all of the information provided on this application (and accompanying resume, if any) is true and accurate to the best of my knowledge. I also understand and agree that falsified information or significant omissions may disqualify me. I hereby authorize any former employer, person, firm, school, institution, or corporation listed hereon, including this company to answer any and all questions and agree to hold all persons harmless and release them from liability for giving any and all truthful information within their knowledge and records. I have read and understood the above information. As an equal opportunity employer, we need to keep track of minorities and women that apply for employment. Before completing your application- complete the equal opportunity employment questions by clicking here. By completing this application you verify that you have read and understood the E-Verify & Right to Work documentation here.
Signature
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Qualifications