Employment - Leland Bradlee LB Construction

Name *

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Email *

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Date Available to Work *

Desired Pay *

Position Applying For *

Are you 18 or older? *

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Are you a citizen of the United States? *

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Social Security # *

Have you ever worked for this company? *

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Have you ever been convicted of a felony? *

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Education

High School Name *

City / State *

Last Year Completed *

College / University Name

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Years of College Completed

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Personal References

Reference #1

Reference #1 Name *

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Reference #2

Reference #2 Name *

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Zip Code

Reference #3

Reference #3 Name *

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Previous Work Experience

Current or Most Recent Employer

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Name of Immediate Supervisor *

Employment Started *

Employment Ended *

Position / Job Title *

Pay *

Reason for Leaving *

May we contact your previous supervisor for a reference? *

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Previous Employer

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Employment Started

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Military Service

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Rank at Discharge

Type of Discharge

If other than honorable, explain

DISCLAIMER AND SIGNATURE

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

Signature *

Address: 14406 FM 968 W., Longview, TX 75602

Leland: 903-452-5302

Bradlee: 903-619-0487

Employment Application

Education

Personal References

Reference #1

Reference #2

Reference #3

Previous Work Experience

Previous Employer

Military Service

DISCLAIMER AND SIGNATURE