Pipelayers / Laborers for Underground Wet Utilities

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Name and Contact Info

Mailing Address

Resume

Driving Record

Most Recent Employer

Past Discharges / Resignations

Salary and Availability

Have you ever filed an application with us before?

Legal Right to Work in U.S.

Note: Proof of citizenship or immigration status is required for employment.

Education

Colleges, Businesses or Trade Schools

School 1

School 2

Employment History

List your 3 most recent employers. Please note that resumes may be attached but may NOT be substituted. Provide all information relevant to the position for which you are applying. By being complete, you may improve your chances for employment.

Job 1

Job 2

Job 3

PLEASE READ CAREFULLY - APPLICANT’S STATEMENT

I certify that the answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby understand and acknowledge that any employment relationship with TC Construction Company Inc. is of an “at will” nature, which means that the employee may resign at any time and the employer may discharge employee(s) at any time with or without cause. It is further understood that this “at will” employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by action of TC Construction Company Inc. In the event of employment, I understand that false or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of TC Construction Company Inc.

I hereby declare as follows: In connection with my application for employment with TC Construction Company Inc., I understand an investigative background check and consumer report that may contain public record information may be requested and obtained by TC Construction Company Inc. Information gathered may include, but is not limited to, any information relating to my character, reputation, personal characteristics, past work experience, driving record, Worker’s Compensation claims, credit, bankruptcy proceedings, criminal history, educational background and any other information about me which may reflect on my potential for employment. I understand this information may be gathered from any individual, organization, entity, state and/or other agencies, or other sources that may have data or knowledge concerning such items of information. Medical and Worker’s Compensation information will only be requested in compliance with the Americans with Disabilities Act (ADA) and/or other applicable state laws.

WITHOUT RESERVATION, I AUTHORIZE ANY PERSON, COMPANY, PHYSICIAN, HOSPITAL, FIRM, SCHOOL OR AGENCY CONTACTED BY TC CONSTRUCTION COMPANY INC.OR ITS AGENTS TO FURNISH THE ABOVE INFORMATION. I HEREBY FULLY RELEASE AND DISCHARGE FROM ALL LIABILITY TC CONSTRUCTION COMPANY INC. AND THEIR DIRECTORS, OFFICERS, EMPLOYEES, AGENTS AND ATTORNEYS THEREOF, AND ANY SOURCE OR ENTITY RELEASING OR PROVIDING INFORMATION OR DATA AND MAKING STATEMENTS OF OPINION ABOUT ME TO TC CONSTRUCTION COMPANY INC.

I ACKNOWLEDGE THAT A FACSIMILE OR PHOTOGRAPHIC COPY OF THIS SIGNED STATEMENT SHALL SERVE AS VALID AS THE ORIGINAL DOCUMENT.

I CERTIFY THAT I AM NOT UNDER 18 YEARS OF AGE AND THE INFORMATION PROVIDED BY ME IS ACCURATE AND WITHOUT ANY CONSEQUENTIAL OMISSION. INFORMATION PROVIDED BY MYSELF AND/OR OTHERS MAY BE USED ONLY BY TC CONSTRUCTION COMPANY INC. AND/OR PROVIDED TO OTHERS IN ANY MANNER OR FORM FOR THE PURPOSES OF INVESTIGATING ME FOR EMPLOYMENT.

To sign this document, simply type your full name to send with your application.

Note: Applicants selected for employment are required to undergo and pass a drug test.

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