Application for employment Lloyd's Construction Services, Inc

Lloyd's Construction Services is an equal opportunity employer and will not discriminate against any applicant or employee on any grounds protected under federal, state or local statute, ordinance or regulation, including race, color, creed, religion, age, sex, sexual orientation, national origin, ancestry, marital status, pregnancy, disability (including those related to pregnancy or childbirth), status with regard to public assistance, membership or non-membership in a labor organization, military, National Guard, or reserve service, complaining in good faith to the Employer or to a public authority, or any other characteristic protected under characteristics, nor imply limitation, illegal preferences or discrimination based upon non-job-related information or protected characteristics.

If you are hired by Lloyd's Construction Services you will be employed on an at-will basis. As an at-weill employee, you may terminate your employment at any time, for any reason, with or without cause, notice or prior warning. Similarly, if you are hired, Lloyd's Construction Services will have the right to terminate your employment at any time, for any reason, with or without cause, notice or prior warning or discipline. No Lloyds Construction Services supervisor or manager has the authority to offer or promise anything other than at will employment and no subsequent transfer, promotion or change in your employment will affect your at will employment status.

Present Address *
Present Address
Permanent Address
Permanent Address
Home Phone *
Home Phone
Other Phone (Present Work # if employed)
Other Phone (Present Work # if employed)
If hired, can you furnish proof that you are 18 years of age or older? *
If hired can you furnish proof that you are eligible to work in the United States *
Have you applied for work or word at our company before? *
Are you able to work at anytime of the day or week as needed? *
Date you can start *
Date you can start
$
Have you ever been convicted of a crime? (minor traffic violations may be omitted.)
Do you have a current, valid and unrestricted driver's license(s)? *
Have you received DWI, DUI, or other driving violations within the last two years? *
Elementary
High School
College
Trade
Business
If yes, which Brand and rank and nature of discharge?
Briefly describe any military duties related to position applied for
Present Membership in National Guard or Reserves?
Are you acquainted with anyone who is or was employed by our Company?
Please list all the employers during the last ten years, with present or last employer first.
Employers Address
Employers Address
Employers Telephone Number
Employers Telephone Number
Full Time or Part Time
$
Supervisor's Name
Supervisor's Name
Date of Employment
Date of Employment
From
To
Employers Address
Employers Address
Employers Telephone Number
Employers Telephone Number
Full Time or Part Time
$
Supervisor's Name
Supervisor's Name
Dates of Employment
Dates of Employment
From
To
Employers Address
Employers Address
Employers Telephone Number
Employers Telephone Number
Full Time or Part Time
$
Supervisor's Name
Supervisor's Name
Date of Employment
Date of Employment
From
To
Employers Address
Employers Address
Employers Telephone Number
Employers Telephone Number
Full Time or Part Time
$
Supervisor's Name
Supervisor's Name
Date of Employment
Date of Employment
From
To
Describe how you spent this time (Please do not provide any specific information related to medical conditions.)
Have you ever been laid off or asked to resign by an employer"
May we contact the employers listed above?
Are you on layoff status and eligible for referral for hire by a hiring hall or employment service?
Reference 1
Reference 1
Individual's Name
Reference Telephone Number
Reference Telephone Number
Reference Address
Reference Address
Reference 2
Reference 2
Individual's Name
Reference Telephone Number
Reference Telephone Number
Reference Address
Reference Address
Reference 3
Reference 3
Individual's Name
Reference Telephone Number
Reference Telephone Number
Reference Address
Reference Address
Lloyd's Construction Services requires that it's employees be able to work throughout Minnesota and beyond as work requires. Are you prepared to work including overnight stays on occasion, wherever Lloyd's Construction Services may assign you?
Lloyd's Construction Services requires that each employee purchase a specific set of tools as a condition of employment. Each individual employee is responsible for having access to these tools each day, and the employee is responsible for transporting his/her own tools to each project or job site. Are you willing to purchase such tools and do you have a valid drivers license and access to a vehicle sufficient to transport tools to and between job sites on a daily basis?
Do you plan to work for any other employer or engage in self employment during your period of employment with Lloyd's Construction Services?
Are there any employer policies, requirements, terms or conditions of employment or types of work which you are unwilling to accept if you are offered employment
Have you ever worked in our industry at any time not listed above
You may be asked to provide a medical history, submit to a drug and/or alcohol test and/or physical/medical examination if you are made a conditional offer of employment. Are you willing to do so?
Lloyd's Construction Services has polices on sexual harassment and equal employment opportunity, policies which require employees to perform all assigned work and mandatory overtime, policies requiring wage and salary deduction authorizations by employees for employee property, debts or monies not returned or repaid, an at-will employment policy, solicitation and distribution policies and policies requiring employees to observe all standards of conduct, policies and work rules of Lloyd's Construction Services and for certain employees, confidentiality, non-solicitation and/or non-competition agreement requirements. Do you agree, if hired to comply with these and all other current or subsequently adopted Lloyd's Construction Services policies and requirements?
By my signature below, I promise that the information provided in this employment application (and any related information provided by me) is true and complete, and I understand that any false or misleading information or significant omission may disqualify me from further consideration for employment, and may lead to my dismissal from employment, if discovered at a later date, no mater how long I have been employed. I agree to immediately notify Lloyd's Construction Services, Inc if I should be convicted or plead guilty to any crime while my job application is pending, or during my period of employment if hired by Lloyd's Construction Services, Inc. I Authorize Lloyd's Construction Services, Inc. (the Employer) to obtain and/or provide any and all information and opinion which the employer elects to obtain, use or provide in connection with my application for employment and/or any employment with the Employer, prior to, during and after my employment. Such information and opinion may be sought from any and all prior employers(except as noted above), schools or other persons or organizations who may have information the Employer deems relevant in connection with my application for employment and during my employment, and may be provided by the Employer in response to any request for information and opinion concerning my employment or my separation from employment with Employer, to any and all banks or mortgage companies, governmental agencies, insurers, prospective employers or other schools, persons or organizations deemed appropriate for receipt of such information by the Employer, I understand that the Employer may provide any and all information and opinion, which may include, but are not limited to opinions about my conduct, performance, attendance or any other aspect of my reputation or character, which may be positive or negative. I agree to hold the Employer (including its principals, employees, agents, consultants, attorneys and insurers) and any such other employer, school, person or organization providing or receiving any such information and option, harmless and free of any and all claims or causes of action arising from any such provision or receipt of information and opinion no mater what it's character. I UNDERSTAND THAT THIS APPLICATION DOES NOT CREATE A CONTRACT OF EMPLOYMENT. I UNDERSTAND THAT IF IM HIRED, I AM OBLIGATED TO COMPLY WITH ANY AND ALL CURRENT AND SUBSEQUENTLY ADOPTED LLOYD'S CONSTRUCTION SERVICES, INC. POLICIES AND THAT LLOYD'S CONSTRUCTION SERVICES, INC. DOES NOT OFFER CONTRACTS, PROMISES OR REPRESENTATIONS RELATED TO EMPLOYMENT. I UNDERSTAND AND AGREE THAT IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD OF TIME, AND MAY CAUSE, NOTICE OR PRIOR WARNING OR DISCIPLINE. I UNDERSTAND THAT NO PERSON IS AUTHORIZED TO CHANGE ANY OT THE TERMS MENTIONED IN THIS EMPLOYMENT APPLICATION. *
By my signature below, I promise that the information provided in this employment application (and any related information provided by me) is true and complete, and I understand that any false or misleading information or significant omission may disqualify me from further consideration for employment, and may lead to my dismissal from employment, if discovered at a later date, no mater how long I have been employed. I agree to immediately notify Lloyd's Construction Services, Inc if I should be convicted or plead guilty to any crime while my job application is pending, or during my period of employment if hired by Lloyd's Construction Services, Inc. I Authorize Lloyd's Construction Services, Inc. (the Employer) to obtain and/or provide any and all information and opinion which the employer elects to obtain, use or provide in connection with my application for employment and/or any employment with the Employer, prior to, during and after my employment. Such information and opinion may be sought from any and all prior employers(except as noted above), schools or other persons or organizations who may have information the Employer deems relevant in connection with my application for employment and during my employment, and may be provided by the Employer in response to any request for information and opinion concerning my employment or my separation from employment with Employer, to any and all banks or mortgage companies, governmental agencies, insurers, prospective employers or other schools, persons or organizations deemed appropriate for receipt of such information by the Employer, I understand that the Employer may provide any and all information and opinion, which may include, but are not limited to opinions about my conduct, performance, attendance or any other aspect of my reputation or character, which may be positive or negative. I agree to hold the Employer (including its principals, employees, agents, consultants, attorneys and insurers) and any such other employer, school, person or organization providing or receiving any such information and option, harmless and free of any and all claims or causes of action arising from any such provision or receipt of information and opinion no mater what it's character. I UNDERSTAND THAT THIS APPLICATION DOES NOT CREATE A CONTRACT OF EMPLOYMENT. I UNDERSTAND THAT IF IM HIRED, I AM OBLIGATED TO COMPLY WITH ANY AND ALL CURRENT AND SUBSEQUENTLY ADOPTED LLOYD'S CONSTRUCTION SERVICES, INC. POLICIES AND THAT LLOYD'S CONSTRUCTION SERVICES, INC. DOES NOT OFFER CONTRACTS, PROMISES OR REPRESENTATIONS RELATED TO EMPLOYMENT. I UNDERSTAND AND AGREE THAT IF HIRED, MY EMPLOYMENT IS FOR NO DEFINITE PERIOD OF TIME, AND MAY CAUSE, NOTICE OR PRIOR WARNING OR DISCIPLINE. I UNDERSTAND THAT NO PERSON IS AUTHORIZED TO CHANGE ANY OT THE TERMS MENTIONED IN THIS EMPLOYMENT APPLICATION.
Please type your name as a digital signature
Date *
Date
Please provide todays date