Employment Application

Panhandle Builders & Excavating, Inc. is an Equal Opportunity Employer and is committed to excellence through diversity.

Application for Employment

Name

Phone

Mobile

Address

Apt, suite, etc.

Country

City

State

Zip code

Are you a U.S. citizen?

Yes

Have you ever been convicted of a felony?

Yes

If selected for employment, are you willing to submit to a pre-employment drug screening test?

Yes

Position you are applying for

Available start date

Desired pay

Employment desired

Full time

Part time

Seasonal / Temporary

Education

School name

Location

Years Attended

Degree received

Major

School name (2)

Location

Years attended

Degree received

Major

School name (3)

Location

Years attended

Degree received

Major

References

Name

Title

Company

Phone

Name (2)

Title

Company

Phone

Name (3)

Title

Company

Phone

Name (4)

Title

Company

Phone

Employment History

Employer (1)

Job title

Dates employed

Work phone

Starting pay rate

Ending pay rate

Address

City/State

Zip

Employer (2)

Job title

Dates employed

Work phone

Starting pay rate

Ending pay rate

Address

City/State

Zip

Employer (3)

Job title

Dates employed

Work phone

Starting pay rate

Ending pay rate

Address

City/State

Zip

Employer (4)

Job title

Dates employed

Work phone

Starting pay rate

Ending pay rate

Address

City/State

Zip

Employer (5)

Job title

Dates employed

Work phone

Starting pay rate

Ending pay rate

Address

City/State

Zip

Signature Disclaimer

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Name

Date

Resume Upload

Name (online signature)

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