Job Application

Step 1 of 6

Applicant Employment History

List your current or most recent employment first.

Employer Name*

Supervisor Name*

First Last

Job Duties*

Reason for Leaving*

Dates of Employment (Month/Year – Month/Year)*

2nd Most Recent Employer

Employer Name

Supervisor Name

First Last

Job Duties

Reason for Leaving

Dates of Employment (Month/Year – Month/Year)

2nd Most Recent Employer

Employer Name

Supervisor Name

First Last

Job Duties

Reason for Leaving

Dates of Employment (Month/Year – Month/Year)

Certification

I certify that the information provided on this application is truthful and accurate. I understand that providing false or misleading information will be the basis for rejection of my application, or if employment commences, immediate termination.

I authorize Creative Concrete Solutions, LLC to contact former employers regarding my employment. I authorize my former employers to fully and freely communicate information regarding my previous employment (attendance, ability, attitude, etc). I authorize those persons designated as references to full and freely communicate information regarding my previous employment. I also authorize Creative Concrete Solutions, LLC to perform a background check.

If an employment relationship is created, I understand that unless I am offered a specific written contract of employment signed on behalf of the organization by its President, the employment relationship will be “at-will.” In other words, the relationship will be entirely voluntary in nature, and either I or my employer will be able to terminate the employment relationship at any time and without cause. With appropriate notice, I will have the full and complete discretion to end the employment relationship when I choose and for reasons of my choice. Similarly, my employer will have the same right. Moreover, no agent, representative, or employee of Creative Concrete Solutions, LLC except in a specific written contract of employment signed on behalf of the organization by its President, has the power to alter or vary the voluntary nature of the employment relationship.

I HAVE CAREFULLY READ THE ABOVE CERTIFICATION AND I UNDERSTAND AND AGREE TO ITS TERMS.

Printed Name

Signature

Date

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This field is for validation purposes and should be left unchanged.

Your Details

Position Details

Emergency Contact

Emergency Contact

Forming Experience

Concrete Finishing Experience

Drive a Skid Steer

Decorative Concrete Experience

Applicant Employment History

List your current or most recent employment first.

2nd Most Recent Employer

2nd Most Recent Employer

References

List any two people who would be willing to provide a reference for you.

Certification

Certification

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