GANNT'S EXCAVATING EMPLOYMENT APPLICATION
 
 
   
* first name:   
* last name:   
* position applying for:   
   
* primary phone:   
secondary phone:   
   
* current address:   
* city:   
* state:   
* zip:   
* How long have you lived there?    years months
   
previous address:   
city:   
state:   
zip:   
How long have you lived there?    years months
   
* desired salary / hourly rate:   $
   
If under the age of 18, can you produce the necessary work certificate at the time of employment?   
   
* type of employment desired:   
   
* Are you willing to work overtime?   
   
* date you are available to start work:   
   
* Have you previously applied for employment with this company?   
   
   
* Have you ever been employed by this company?   
   
If yes, provide dates of employment, location, and reason for separation from employment.   from: year month   to: year month
   
For the next two questions do not include convictions that were sealed, eradicated, erased, annulled by a court, or expunged, or convictions that resulted in referral to a diversion program.
   

* Have you ever plead guilty or no contest to, or been convicted of any criminal offense
other than the applicable exceptions listed above?

   
* Have you ever been arrested for any matters for which you currently are out on bail or
on your own recognizance pending trial?
   
CRIMINAL OFFENSES ONLY: If you answered YES, to either of the above two questions, please provide the date(s) and explain in accordance with the above instructions so that individual circumstances can be considered.
 
   
Criminal convictions or arressts will not automatically disqualify an applicant from a partcular job. Gantts Excavating & Contracting, Inc. will consider the nature of the crime, its seriousness, the substantial relation to the position's functions and qualifications, the number of occurrences, the applicant's age at the time of the crime, the time elapsed since the crime, the applicant's entire work and educational history, employment references and recommendations, and the business necessity of any exclusion when required by law.
   
* Have you ever initiated an act of violence in the workplace?
    
   
If YES, please provide the date(s) and explain so that individual circumstances can be considered. (A "YES" answer will not necessarily disqualify you from employment.)
   
   
List all special technical skills that you feel qualify you for the job which you are applying (For example., computer programming/language, software, equipment operation, special tools or machines, etc.)
   
   
 Education   School Name and Location   Course of Study   Graduate?   # of Years Completed   Degree/Major 
High School    
College
Bus./Tech./Trade
or Post College
   
Honors Received:
   
If applicable, list below any other names by which you have been known which may be necessary to allow us to confirm your work and educational record. For example, change of name, use of an assumed name, nickname, etc.
   
WORK EXPERIENCE
Please list the names of your present and/or previous employers in chronological order with present or last employer listed first. Account for all periods of time including any period of unemployment. If self-employed, supply firm name and business references. You may include any verifiable work performed on a volunteer basis, internships, or military service. Your failure to completely respond to each inquiry may disqualify you for consideration from employment.
   
Current or Most Recent Employer    

name:

address: city: state:

type of business:

  dates employed:  
phone: from: year month    to: year month
   
job title: duties:
   
supervisor's name: May we contact?   If No, why not?
   

wages start:

wages final:

reason for leaving:
   
What will this employer say was the reason your employment terminated?
 
 
How much notice did you give when resigning? If none, explain.
 
 
 
Previous Employer    

name:

address: city: state:

type of business:

  dates employed:  
phone: from: year month    to: year month
   
job title: duties:
   
supervisor's name: May we contact?   If No, why not?
   

wages start:

wages final:

reason for leaving:
   
What will this employer say was the reason your employment terminated?
 
 
How much notice did you give when resigning? If none, explain.
 
 
 
Previous Employer    

name:

address: city: state:

type of business:

  dates employed:  
phone: from: year month    to: year month
   
job title: duties:
   
supervisor's name: May we contact?   If No, why not?
   

wages start:

wages final:

reason for leaving:
   
What will this employer say was the reason your employment terminated?
 
 
How much notice did you give when resigning? If none, explain.
 
 
 
Please explain fully all gaps in your employment history in excess of one month.
 
 
* Have you ever been terminated or asked to resign from any job?    If YES, how many times?
 
* Has your employment ever been terminated by mutual agreement?    If YES, how many times?
 
* Have you ever been given the choice to resign rather than be terminated?    If YES, how many times?
 
If you answered YES to any of the above three questions, please explain the circumstances of each occasion.
 
REFERENCES
Please list the names of additional work-related references we may contact. Individuals with no prior work experience may list school or volunteer-related references.
NAME POSITION COMPANY WORK RELATIONSHIP PHONE
 
Please list the names of personal references (not previous employers or relatives) who know you well that we may contact.
NAME POSITION COMPANY WORK RELATIONSHIP PHONE
 
Applicant Certification

I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver's license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside.

I understand that Gantt's Excavating & Contracting, Inc. may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state, and local law. If Gantt's Excavating & Contracting, Inc. has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, pursuant to Gantt's Excavating & Contracting, Inc's policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with Gantt's Excavating & Contracting, Inc's policies and applicable federal, state, and local law.

If employed by Gantt's Excavating & Contracting, Inc., I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property.

I certify that all the information on this application, my resume, or any supporting documents I may present during any interview is and will be complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.

THIS COMPANY IS AN AT-WILL EMPLOYER AS ALLOWED BY APPLICABLE STATE LAW. THIS MEANS THAT REGARDLESS OF ANY PROVISION IN THIS APPLICATION, IF HIRED, SMITH OIL COMPANY, INC. MAY TERMINATE THE EMPLOYMENT RELATIONSHIP AT ANY TIME, FOR ANY REASON, WITH OR WITHOUT CAUSE OR NOTICE. NOTHING IN THIS APPLICATION OR IN ANY DOCUMENT OR STATEMENT, WRITTEN OR ORAL, SHALL LIMIT THE RIGHT TO TERMINATE EMPLOYMENT AT-WILL. NO OFFICER, EMPLOYEE OR REPRESENTATIVE OF GANNT'S EXCAVATING & CONTRACTING, INC. IS AUTHORIZED TO ENTER INTO AN AGREEMENT - EXPRESS OR IMPLIED - WITH ME OR ANY APPLICANT FOR EMPLOYMENT FOR A SPECIFIED PERIOD OF TIME UNLESS SUCH AN AGREEMENT IS IN A WRITTEN CONTRACT SIGNED BY THE PRESIDENT OF THE COMPANY.

IF HIRED, I AGREE TO CONFORM TO THE RULES AND REGULATIONS OF GANNT'S EXCAVATING & CONTRACTING, INC., AND I UNDERSTAND THAT THE COMPANY HAS COMPLETE DISCRETION TO MODIFY SUCH RULES AND REGULATIONS AT ANY TIME, EXCEPT THAT IT WILL NOT MODIFY ITS POLICY OF EMPLOYMENT AT-WILL.

 
* : I certify that I have read and understand all the information stated in the Applicant Certification.