Employment Application

How long have you lived there? *
Position applied for: *
Desired Wages: *
Negotiable? *
Employment Desired: *

School History

High School


Bus. or Trade School


What is your means of transportation to work?: *
Have you had any car accidents during the past three years? *
Have you had any moving violations during the past three years? *
Have you ever been cited for driving under the influence of alcohol or any banned substance? *

Construction Skills

Please answer the following specific questions regarding your experience:

yrs( (by yourself))

Work Experience (Please fill this section out in addition to your resume)

Please list your work experience beginning with your most recent job held ~ If you were self-employed, give firm name.

Employer #1

Employment dates: *
Pay or salary: *

Employer #2

Employment dates: *
Pay or salary: *

Employer #3

Employment dates: *
Pay or salary: *
May we contact your present and / or past employers? *
Did you complete this application yourself? *

Agreement (Please Read Carefully Before Signing)

I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.

I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Wentworth Builders, Inc. creates an actual or implied contract of employment. I understand that if I accept employment with Wentworth Builders, Inc. it will be on an at-will basis. This means that either Wentworth Builders , Inc. or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.

I agree to submit to drug and alcohol testing, if requested by Wentworth Builders, Inc. I release Wentworth Builders, Inc., and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing.

I authorize Wentworth Builders, Inc. to investigate information concerning my education, credit history, employment experiences and all other aspects of my background relevant to my proposed employment. I release Wentworth Builders, Inc. and its employees from all liability arising from such investigation.

Wentworth Builders, Inc. is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, citizenship, age or disability. We assure that opportunity for employment with Wentworth Builders, Inc. depends solely on your qualifications.

Fields marked by asterisks (*) are required