Employment Application

Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Other Phone
Social Security Number*
Position Applied for:
You can upload a resume here, if applicable.
Accepted file types: txt, rtf, doc, docx, Max. file size: 3 MB.
Click Next for Employment Experience (List Three previous employers)

1. Employer
Employer Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor Name:
First Last
Employed from:
Month
Day
Year
To:
Month
Day
Year
Position:
Salary/hourly rate
Reason for leaving:
2. Employer
Employer Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor name:
Employed from:
Month
Day
Year
To:
Month
Day
Year
Position:
Salary/hourly rate
Reason for leaving:
3. Employer
Employer Name
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Supervisor name:
Employed from:
Month
Day
Year
To:
Month
Day
Year
Position:
Salary/hourly rate
Reason for leaving:
Click Next to add Driver's License Info

Do you have a valid Maine Driver's License?
- Yes
Do you have dependable transportation?
- Yes
Can you work nights?
- Yes
Where did you attend high school? (Name, city, state)
Do you have any special skills?(i.e. welding, mechanical, or equipment operation experience, etc.)
Have you ever been convicted of a crime? (If yes, please write a brief explanation of crime(s) and date(s) of the occurence(s). (A criminal record does not mean immediate rejection.)
Driver's license info
Driver's license number:
State of issue:
License Class
- Class A
- Class B
- Class C
- None
Have you had any motor vehicle accidents during the past three years?
Have you had any moving violations during the past three years?
Click Next to finish.

Sign and submit
I hereby authorize E.J. Perry Construction Co,, Inc. to check references, court records, and motor vehicle records in connection with my application for employment. I hereby release E.J. Perry Construction Co., Inc. from any and all liability of any type in connection with the acquisition of this information. I agree that an false or misleading statement(s) in this application shall be sufficient cause for rejection or dismissal. I hereby grant E.J. Perry Construction Co., Inc permission to investigate any of the information included in this application. Applications are held on file for thirty (30) calendar days.*
- I agree
E.J. Perry Construction Co,, Inc. is an equal opportunity employer.
If you have a touch screen device check here to sign digitally..
- Sign on Screen
Signature

1. Employer