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Texas

Application for Employment

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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 Human Resources Department.
Name
Address
MM slash DD slash YYYY
Referral Source (Please check the appropriate category and list the source.)
If necessary, best time to call you is
:
If necessary, best time to call you is
May we contact you at work?
Time
:
If you are under 18 and it is required, can you furnish a work permit?
Have you submitted an application here before?
Have you ever been employed here before?
If yes, give dates:
MM slash DD slash YYYY
MM slash DD slash YYYY
Is this application a request for reemployment following an extended military leave of absence from this company?
If yes, additional information may be requested.
Are you legally eligible for employment in this country?
MM slash DD slash YYYY
Type of employment desired:
Will you relocate if job requires it?
Will you travel if job requires it?
If they have been explained to you, are you able to meet the attendance requirements of the position?
Will you work overtime if required?
Are you able to perform the "essential functions" of the job for which you are applying (with or without reasonable accommodation)?
This question is not designed to elicit information about an applicant's disability. Please do not provide information about the existence of a disability, particular accommodation 's eneee addaccad at a latar cta or whether accommodation is necessary. These issues may be addressed at a later stage to the extent permitted by law.
Have you ever been bonded?
Answering "yes" to the following question does not constitute an automatic bar to employment. Factors such as date of the offense, seriousness and nature of the violation, rehabilitation and position applied for will be taken into account. NOTE: You are not rehabilitation and nosition applied for will be taken into account. NOTE: You are not obligated to disclose juvenile records that have been sealed.
Have you ever pleaded "guilty" or "no contest to or been convicted of a crime?
Have you entered into an agreement with any former employer or other party (such as a noncompetition agreement) that might, in any way, restrict your ability to work for our company?
Employment History
Starting with your most recent employer, provide the following information.
MM slash DD slash YYYY
MM slash DD slash YYYY
Street address
May we contact for reference?
Compensation (Starting)
Compensation (Final)
MM slash DD slash YYYY
MM slash DD slash YYYY
Street address
May we contact for reference?
Compensation (Starting)
Compensation (Final)
MM slash DD slash YYYY
MM slash DD slash YYYY
Street address
May we contact for reference?
Compensation (Starting)
Compensation (Final)
MM slash DD slash YYYY
MM slash DD slash YYYY
Street address
May we contact for reference?
Compensation (Starting)
Compensation (Final)
Employment History (continued)
If not addressed on previous page, have you ever been fired or asked to resign'from a job?.
Skills and Qualifications
Computer Skills (Check appropriate boxes. Include software titles and years of experience.)
Educational Background
Starting with your most recent school attended, provide the following information.
Completed
Completed
Completed
Completed
References
List names and telephone numbers of three business/work references who are not related to you and are not previous supervisors. If not applicable, list three school or personal references who are not related to you.
Name
Name
Name
Social Security Number
We will use this information only for employment purposes and make reasonable efforts to safeguard your privacy.
Related Information

To what job-related organizations (professional, trade, etc.) do you belong?
Exclude memberships that would reveal race, color, religion, sex, national origin, genetic information, citizenship, age, mental or physical disabilities, veteran/reserve national guard or any other similarly protected status.
List special accomplishments, publications, awards, etc.
In your current or a prior job, have you ever written instructions or directions to be followed by employees or customers?
Applicant Statement

I certify that all information I have provided in order to apply for and secure work with this employer is true, complete and correct.

I expressly authorize, without reservation, the employer, its representatives,employees or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application, resumé or job interview.I bereby waive any and all rights and claims I may have regardine the emmlover its agents lovetives for secki hfol and job interview. Ihereby waive any and all rights and claims I may have regarding the employer, its agents, employees or representatives, for seeking, gathering and using truthful and non-defamatory information, in a lawful manner, in the employment process and all other persons, corporations or organizations for furnishing such information about me.

I understand that this employer does not unlawfully discriminate discriminate ini employment employment and nono question on this tis application isis used for the purpose of limiting or eliminating any applicant from consideration for employment on any basis prohibited by applicable local, state or federal law.

I understand that this application remains current for only 30 days. At the conclusion of that time, if I have not heard from the employer and still wish to be considered for emplovment, it will be necessary for me to reapply and fill out a new application. employment, it will be necessary for me to reapply and fill out a new application emloment at any time with or withont case and with wthost ororoice Thie n empoger eserves a rigi to terinate my IfI am hired, I understand that I am free to resign at any time, with or without cause and with or without prior notice, and the employer reserves the same right to terminate my employment at any time, with or without cause and with or without prior notice, except as may be required by law. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that no supervisor or representative of the employer is authorized to make any assurances to the contrary for employment for any specified period or definite duration. I understand that no supervisor or representative of the emplover is authorized to make any assurances to the contra and that no implied oral or written agreements contrary to the foregoing express language are valid unless they are in writing and signed by the employer's president.

I also understand that if I am hired, I will be required to provide proof ofidentity and legal authorization to work in the United States and that federal immigration laws require me to complete an I-9 Form in this regard.

This Company does not tolerate unlawful discrimination in its employment employment practices practices. No question on this application is used for the purpose of limiting or excluding an applicant from consideration for employment on the basis ofhis or her sex, race, color, religion, national origin, genetic genetic information, citizenship, citizen age, disability, or any other protected status under applicable federal, state, or local law. This Company likewise does not tolerate harassment based on sex, race, color, religion, national origin, genetic information, citizenship, age, disability, or any other protected status. Examples of prohibited harassment include, but are not limited to, unwelcome physical contact, offensive gestures, unwelcome comments, jokes, epithets, threats, insults, name-calling, negative stereotyping, possession or display of derogatory pictures or contact, offensive gestures, unwelcome comments, jokes, epithets, threats, insults, name-calling, negative stereotyping. possession or display of derogatory pictures or other graphic materials, and any other words or conduct that demean, stigmatize, intimidate, or single out a person because ofhis/her membership in a protected cate category. Harassment of our employees is strictly prohibited, whether it is committed by a manager, coworker, subordinate, or non-employee (such as a vendor or customer).

The Company takes all complaints of harassment seriously and all complaints will be investigated promptly and thoroughly. The Company takes all complaints of harassment seriously and all complaints will be investivated promptly and thorouobly.

I understand that any information provided by me that is found to be false, incomplete or misrepresented in any respect, will be sfficient cause to (i) eliminate me from further consideration consideratioo for for smolovment employment, oror (i) (ii) may may result result inin mymy immediate immediate discharge dischare from from thered the employer's service, whenever it is discovered.
DO NOT SIGN UNTIL YOU HAVE READ THE ABOVE APPLICANT STATEMENT.

I certify that I have read, fully understand and accept all terms of the foregoing Applicant Statement.
Signature of Applicant
Clear Signature
MM slash DD slash YYYY
FAIR CREDIT REPORTING ACT NOTICE AND CONSENT

NOTICE TO APPLICANT:

FAIR CREDIT REPORTING ACT NOTICE AND CONSENT As part of its pre-employment application screening process, Allbrite Constructors of Texas, Inc. ("Allbrite") uses a consumer or credit reporting agency to conduct personal background checks on all applicants and employees for employment and if applicable, motor vehicle checks. The information Allbrite receives from the credit reporting agency wiwill come to the company in the form of a "consumer credit report." The consumer credit report may contain information pertaining to the applicant's credit worthiness, credit standing, credit capacity, character, general reputation, personal characteristics, or mode of living. The consumer credit report may also contain information relating to your driving record and criminal record or history going back in time.

Under the federal Fair Credit Reporting Act, as well as under some states' laws, you have certain legal rights pertaining to any consumer credit report requested by Allbrite regarding you. Before taking any adverse action regarding your application for employment, Allbrite must provide to you a summary of your legal rights under the Fair Credit Reporting Act, a copy of the consumer credit report containing any information which led to an adverse decision regarding your employment, and the name, address and telephone number of the consumer reporting agency that provided the consumer credit report.

By signing the CONSENT below, you are authorizing Allbrite to obtain a consumer credit report about you in accordance with federal and state law.
CONSENT
Name
MM slash DD slash YYYY
Current Address
Previous Address
Signed
Clear Signature
MM slash DD slash YYYY
Applicant Name
MM slash DD slash YYYY
1. Are you willing to submit to a drug/ alcohol check?
2. Have you been convicted of a felony offense in the past 7 years?
3. Have you ever worked for this company before?
4. If an essential function of the job for which you are applying, are you able to lift up to 40 lbs?
5. If an essential function of the job for which you are applying, are you able to stand for at least 10 hours a day?
6. If an essential function of the job for which you are applying, are you willing to travel 50+% of the time?