APPLICATION for EMPLOYMENT

 
Sisk Grading Inc.
1199 US Hwy 221A
Forest City, NC 28043
(828) 245-2428
 
Equal access to programs, services, and employment is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a representative of the Company.
 
 
Position applied for
 
 
 
 
Date of application
 
 
 
 
Name
 
 
 
Address
 
 
 
 
Telephone#
 
 
 
 
Cell #
 
 
 
 
E-Mail Address
 
 
 
 
Referral Source (How did you hear about us?
 
 
 
If you are under 18, and it is required, can you furnish a work permit?
 
 
 
If no, please explain
 
 
 
 
Have you ever been employed here before?
 
 
 
 
If yes, give dates and supervisors
 
 
 
 
Are you legally eligible for employment in this country?
 
 
 
Date available for work
 
 
 
Are you legally eligible for employment in this country?
 
 
 
Driver's license number if driving may be required in position for which you are applying
 
 
 
State
 
 
 
 
 
CDL License?
 
 
 
 
HazMat?
 
 
 
Have you ever failed a drug test?
 
 
JOB QUALIFICATIONS
 
List Type of Equipment
 
Any Special Certification
 
Years of Experience
 
Answering "yes " to the following question does not constitute an automatic bar to employment. Factors such as dale of the ojfense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account.
 
Have you ever pled "guilty" or "no contest" to, or been convicted of a crime?
 
 
 
If yes, please provide date(s) and details
 
 
EMPLOYMENT HISTORY Starting with your most recent employer, provide the following information:
 
 
Employer
 
 
 
 
Telephone #
 
 
 
 
 
Dates employed:
 
 
 
 
To
 
 
 
 
 
Street address
 
 
 
 
City
 
 
 
State
 
 
 
 
Starting Wage:
 
 
 
 
(hourly or salary?)
 
 
 
Starting job title
 
 
 
 
Final job title
 
 
 
 
 
Final Wage:
 
 
 
 
(hourly or salary?)
 
 
 
Immediate supervisor and title
 
 
 
 
May we contact for reference?
 
 
 
 
Why did you leave?
 
 
 
Summarize the type of work performed and job responsibilities:
 
 
 
What did you like most about your position?
 
 
 
What were the things you liked least about the position?
 
 
 
 
Employer
 
 
 
 
Telephone #
 
 
 
 
 
Dates employed:
 
 
 
 
To
 
 
 
 
 
Street address
 
 
 
 
City
 
 
 
State
 
 
 
 
Starting Wage:
 
 
 
 
(hourly or salary?)
 
 
 
Starting job title
 
 
 
 
Final job title
 
 
 
 
 
Final Wage:
 
 
 
 
(hourly or salary?)
 
 
 
Immediate supervisor and title
 
 
 
 
May we contact for reference?
 
 
 
 
Why did you leave?
 
 
 
Summarize the type of work performed and job responsibilities:
 
 
 
What did you like most about your position?
 
 
 
What were the things you liked least about the position?
 
 
 
 
Employer
 
 
 
 
Telephone #
 
 
 
 
 
Dates employed:
 
 
 
 
To
 
 
 
 
 
Street address
 
 
 
 
City
 
 
 
State
 
 
 
 
Starting Wage:
 
 
 
 
(hourly or salary?)
 
 
 
Starting job title
 
 
 
 
Final job title
 
 
 
 
 
Final Wage:
 
 
 
 
(hourly or salary?)
 
 
 
Immediate supervisor and title
 
 
 
 
May we contact for reference?
 
 
 
 
Why did you leave?
 
 
 
Summarize the type of work performed and job responsibilities:
 
 
 
What did you like most about your position?
 
 
 
What were the things you liked least about the position?