Rummel Construction Employment

Educational Information

	NAME OF SCHOOL	YEARS ATTENDED	GRADUATE	SUBJECTS STUDIED
HIGH SCHOOL
COLLEGE
TRADE SCHOOL
OTHER

Employment History

	NAME, ADDRESS	SALARY	DUTIES	REASON FOR LEAVING
FROM: To:
FROM: To:
FROM: To:
FROM: To:

References Give the names of three persons not related to you whom you have known at least one year.

NAME	CITY, PHONE	BUSINESS	YEARS ACQUAINTED

In case of emergency, notify: Phone:

I CERTIFY THAT ALL THE INFORMATION SUBMITTED BY ME ON THIS APPLICATION IS TRUE AND COMPLETE AND I UNDERSTAND THAT IF ANY FALSE INFORMATION, OMISSIONS, OR MISREPRESNTATIONS ARE DISCOVERED MY APPLICATION MAY BE REJECTED, AND IF I AM EMPLOYED, I WILL BE SUBJECT TO DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION.

WITH THE EXCEPTION OF CONTACTING MY CURRENT EMPLOYER, (UNLESS AUTHORIZED ABOVE), I FULLY AUTHORIZE THE INVESTIGATION AND VERIFICATION OF ANY STATEMENTS MADE BY ME IN THIS EMPLOYMENT APPLICATION (AND ANY RESUME OR OTHER MATERIALS SUBMITTED BY ME IN CONNECTION WITH MY EFFORT TO OBTAIN EMPLOYMENT WITH RUMMEL CONSTRUCTION, INC.) I EXPRESSLY AUTHORIZE RUMMEL CONSTRUCTION, INC. AND ITS DESIGNEES TO CONTACT ALL LISTED PAST EMPLOYERS AND/OR REFERENENCES. I FURTHER AUTHORIZE ANY PERSON, SCHOOL, PAST EMPLOYER, ORGANIZATION, OR OTHER ENTITY LISTED IN MY APPLICATION AND ANY RESUME OR OTHER MATERIALS SUBMITTED BY ME TO PROVIDE RUMMEL CONSRUCTION, INC. WITH ANY INFORMATION REQUESTED THAT MAY BE RELEVANT AND USEFUL IN MAKING A HIRING DECISION. I EXPRESSLY RELEASE ANY SUCH PERSONS, ORGANIZATIONS, OR ENTITIES, INCLUDING RUMMEL CONSTUCTION, INC. AND ITS DESIGNEE, FROM ANY AND ALL LIABILITY FOR MAKING DISCLOSURE OR OBTAINING ANY INFROMATION ABOUT ME WHICH IS NOT PROHIBITED BY LAW TO RELEASE.

I UNDERSTAND THAT THIS APPLICATION IS NOT INTENDEND NOR IS IT AN OFFER OF EMPLOYMENT OR EMPLOYMENT CONTRACT. FURTHER, I UNDERSTAND THAT ANY SUBSEQUENT EMPLOYMENT AT RUMMEL CONSTRUCTION, INC. IS “AT-WILL” AND MY BE TERMINATED BY THE COMPANY OR EMPLOYEE WITH OR WITHOUT NOTICE AND WITH OR WITHOUT CAUSE.