Employment Application Step 1 of 6 16% Name(Required) First Middle Last Date of Birth(Required) MM slash DD slash YYYY Phone(Required)Email(Required) Present Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Are you 18 years of age or older?(Required) Yes No Are you legally eligible to work in the U.S.(Required) Yes No Have you been convicted of a felony or misdemeanor within the last five (5) years?(Required) Yes No If yes, explain:(Required)Upload your Resume and any relevant information:Accepted file types: pdf, jpg, png, Max. file size: 25 MB. Employment DesiredPlease provide information on the type of employment you are applying for.Available Position Requested(Required)Select the position you are applying forCarpenterEstimatorSuperintendentTraveling SuperintendentProject ManagerProject CoordinatorProject EngineerDate you can start?(Required) MM slash DD slash YYYY Desired Salary(Required)Are you currently employed?(Required) Yes No May we contact your current employer?(Required) Yes No Education HistoryList previous education and military history below.List Address Phone Email Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Key Subjects Studied(Required)Have you served in the military?(Required) Yes No Name of branch served?Rank in service?Are you currently enlisted in the National Guard or Reserves?(Required) Yes No Previous Employment HistoryList Untitled Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. ReferencesList First Name Last Name Company Actions Edit Delete There are no Entries. Add Entry Maximum number of entries reached. Health History and Emergency ContactDo you have any physical limitations that precludes you from performing any work for which you are applying?(Required)SelectYesNoIf yes, what can be done to accommodate your limitation?(Required)In case of emergency notify below:Configuration RequiredUse the Nested Form and Summary Fields settings to choose the form and fields to display in this Nested Form field. Applicant Consent Form for Pre-Employment InvestigationI certify and declare under penalty of perjury under relevant state and federal law that the information contained in my employment application is complete, true, and accurate. I acknowledge that falsification or omission of information may result in immediate dismissal or retraction of any offer of employment. In consideration of Barker Contracting, Inc. (herein referred to as EMPLOYER) review of my application for employment, I hereby voluntarily consent to and authorize EMPLOYER, or its authorized agents bearing this release or copy thereof, to obtain a consumer report for employment purposes. I agree that this consumer report may include any of the following: • Employment Verification • Education Verification • Credentials Verification • Personal Identity Verifications • Past Employment Verification • Reference Checks • Criminal Records • Civil Cases • Motor Vehicle Records • Credit Report I authorize all persons and organizations that may have information relevant to this research to disclose such information to EMPLOYER or its authorized agents. I hereby release EMPLOYER, its authorized agents, and all persons and organizations providing information from all claims and liabilities of any nature in connection with this research. I hereby further authorize that a photocopy of this authorization may be considered as valid as the original. I understand that I have specific prescribed rights as a consumer under the federal Fair Credit Reporting Act ('FCRA') and may have additional rights under relevant state law. I hereby certify that I have been presented with a summary of my rights as a consumer under the Fair Credit Reporting Act.I have Read The Applicant Consent Form I have Read The Applicant Consent Form Signature(Required) First Last Date(Required) MM slash DD slash YYYY Name First Last UntitledConfiguration RequiredUse the Nested Form and Summary Fields settings to choose the form and fields to display in this Nested Form field.Email
