Employment Application

1Name & Contact

2Job Info

3Skills & Education

4Previous Employers

5References

Name*
First Last
Primary Phone*
Secondary Phone
Current Address*
Street Address Address Line 2 City State ZIP Code
How long have you lived there?*
Previous Address
Street Address Address Line 2 City State ZIP Code
How long did you live there?

Your Skills*
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
Education History
Education
School Name & Location
Course of Study / Degree / Major
Graduate?
Honors Received
Additional Names
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.
List all Previous Employers
Employer Business Name
Phone
Employer Address
Street Address City State
Your Job Title
Your Duties
Supervisor's Name
May we contact?
Yes
No
Why not?
Wages Start
Wages End
What will this employer say was the reason your employment terminated?
How much notice did you give when resigning? If none, explain.
Employment Gaps
Please explain fully all gaps in your employment history in excess of one month.

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.
Work References*
NAME POSITION COMPANY WORK RELATIONSHIP PHONE
Personal References*
NAME POSITION COMPANY WORK RELATIONSHIP PHONE
Applicant Certification
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, GANTT'S EXCAVATING & CONTRACTING 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 GANTT'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 GANTT'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.*
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Employment Application

Education

WORK EXPERIENCE

References

Applicant Certification

NAME	POSITION	COMPANY	WORK RELATIONSHIP	PHONE

NAME	POSITION	COMPANY	WORK RELATIONSHIP	PHONE