Application for Employment (Pre-employment Questionnaire) (An Equal Opportunity Employer)

Use the tab key to move between boxes.                                                         Date: 

Personal Information                                
Name:                                 Social Sec. #:  -  - 
Address:
Phone No.: --      Cellular phone: --
Email address:
Are you prevented from lawfully becoming employed
in this country because of Visa or immigration status?    Yes    No

Employment Desired
Position: Estimator Project Manager Estimator/Project Manager Superintendent Date you can start: Salary Desired:
Are you employed now? Yes No
If yes, may we inquire of your present employer? Yes No
Referred by:

General
Subjects of special study or research work:                                                       
Special skills:

Activities: (Civic, athletic, etc.)

U.S. Military Service: Rank:
Present membership in National Guard or Reserves:

Former Employers (List last three employers, starting with last one first)

Which of these jobs did you like best?
What did you like most about this job?

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

In case of emergency notify:
Name Address 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 misrepresentations are discovered, my application may be rejected and, if I am employed, my employment may be terminated at any time.
 In consideration of my employment, I agree to conform to the company's rules and regulations and I agree that my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at either my or the company's option.  I also understand and agree that the terms and conditions of my employment may be changed, with or without cause, and with or without notice, at any time by the company.  I understand that no company representative, other than its president, and then only when in writing and signed by the president, has any authority to enter into any agreement for employment for any specific period of time, or to make any agreement contrary to the foregoing.
Date:        Name:    
                              
In submitting this form, you certify that you agree with the above statement.

In addition to the information above it would be helpful if you email your resume to: application@rubybuilders.com or you may fax it to 407-293-6481.