J. R. Brown Construction,
Inc.

119 Broad Street
Hollidaysburg, PA 16648
814.696.8440
Fax: 814.696.4577
info@jrbrownconstruction.com


Monday : Wednesday : Friday 12-5

Other hours by appointment including evening and weekend.

PA:54

Employment Application

Name
e-mail
Phone
Address
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Referred By
Do you have a valid drivers license?
Are you 18 years of age or older?
Position Desired
Date You Can Start
Desired Hourly Wage
Are You Currently Employed?
Have You Ever Applied At J. R. Brown Construction Inc. Before?
If Yes, Where?
If Yes, When?
Education
Name and Location of High School:
Last Year Completed
High School (Subjects studied, Degrees Received)
Name and Location of College
Have You Graduated College?
College (Subjects studied/Degrees received)
 
Name and Location of Trade School
Have You Graduated Trade School?
General Information
Related Skills, Trainings, Talents, Certifications, and/or Degrees
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Present/Previous Employment

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Name & Address of Present/Previous Employer
Starting Date
Ending Date
Starting Salary
Ending Salary
Job Title
Reason For Leaving
   
Name & Address of Present/Previous Employer
Starting Date
Ending Date
Starting Salary
Ending Salary
Job Title
Reason For Leaving
 
Name & Address of Present/Previous Employer
Starting Date
Ending Date
Starting Salary
Ending Salary
Job Title
Reason For Leaving
References
Name
Address
Phone
Business
Years Acquainted
   
Name
Address
Phone
Business
Years Acquainted
 
Name
Address
Phone
Business
Years Acquainted
Employment Agreement

I CERTIFY THAT THE FACTS CONTAINED IN THIS APPLICATION (AND ACCOMPANYING RESUME, IF ANY) ARE TRUE AND COMPLETE TO THE BEST OF MY KNOWLEDGE. I UNDERSTAND THAT ANY FALSE STATEMENT, OMISSION, OR MISREPRESENTATION ON THIS APPLICATION IS SUFFICIENT CAUSE FOR REFUSAL TO HIRE, OR DISMISSAL IF I HAVE BEEN EMPLOYED, NO MATTER WHEN DISCOVERED BY THE COMPANY. I UNDERSTAND THAT ANY EMPLOYMENT IS CONDITIONED ON A BACKGROUND CHECK. I AUTHORIZE THE COMPANY TO THOROGHLY INVESTIGATE ALL STATEMENTS CONTAINED IN MY APPLICATION OR RESUME, AND I AUTHORIZE MY FORMER EMPLOYERS AND REFERENCES TO DISCLOSE INFORMATION REGARDING MY FORMER EMPLOYMENT, CHARACTER AND ALL REFERENCES LISTED ABOVE FROM ANY AND ALL CLAIMS, DEMANDS OR LIABLILITIES ARISING OUT OF OR RELATED TO SUCH INVESTIGATION OR DISCLOSURE. I UNDERSTAND AND AGREE THAT NOTHING CONTAINED IN THIS APPLICATION, OR CONVEYED DURING ANY INTERVIEW, IS INTENDED TO CREATE AN EMPLOYMENT CONTRACT. I FURTHER UNDERSTAND AND AGREE THAT IF I AM HIRED, MY EMPLOYMENT WILL BE “AT WILL” AND WITHOUT FIXED TERM, AND MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT CAUSE AND WITHOUT PRIOR NOTICE, AT THE OPTION OF EITHER MYSELF OR THE COMPANY. NO PROMISES REGARDING EMPLOYMENT HAVE BEEN MADE TO ME, AND I UNDERSTAND THAT NO SUCH PROMISE OR GUARANTEE IS BINDING UPON THE COMPANY UNLESS MADE IN WRITING. I UNDERSTAND THAT FILLNG OUT THIS FORM DOES NOT INDICATE THERE IS A POSITION OPEN AND DOES NOT OBLIGATE THE COMPANY TO HIRE. IF HIRED, I AGREE TO ABIDE BY ALL COMPANY WORK RULES, POLICIES AND PROCEDURES. THE COMPANY RETAINS THE RIGHT TO REVISE ITS POLICIES OR PROCEDURES, IN WHOLE OR IN PART, AT ANY TIME.

J R Brown Construction, Inc. is an equal opportunity employer and hires qualified persons without regard to race, color, religion, ancestry, national origin, age, gender, genetics, sexual orientation, or marital, familial, or disability status or status as a covered veteran or any other legally protected status.

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