Employment Application: Will you consent to a Comprehensive Physical exam?(Required) YES No Will you consent to a Drug and Alcohol screening?(Required) YES No Name(Required) First Last Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Are you 18 years or older?(Required) YES No DO YOU HAVE THE AUTHORIZATION TO WORK IN THE U.S.?(Required) YES No DO YOU HAVE THE RIGHT TO REMAIN PERMANENTLY IN THE U.S.?(Required) YES No HAVE YOU EVER WORKED UNDER A DIFFERENT NAME?(Required) YES No If YES please explainCOMPANY/S TO WHICH YOU ARE APPLYING?(Required)Acoustic Ceiling & PartitionArbor Construction PersonnelRegis Construction, LLCOtherselect one - "other" if unsurePOSITION IN WHICH YOU ARE APPLYING?(Required)Union CarpenterUnion Apprentice CarpenterUnion TaperUnion Apprentice TaperUnion LaborerProject EngineerProject ManagerWarehouse DriverOffice ManagerAccounting AssistantOtherselect one - "other" if unsureEDUCATION:(Required)High School plus Trade School GraduateHigh School GraduateGEDSome CollegeBachelor's DegreeMaster's Degree or Higherother EducationHighest Level of Completed Education - select only oneOTHER FORMAL EDUCATION, TRAINING OR EXPERIENCE RELEVANT TO THE POSITION YOU ARE APPLYING:Are you currently employed?(Required) YES No If YES, what company are you working for now? If YES, how long have you worked for them?Please enter a number from 1 to 240.In Months, please (1-240)WORK HISTORY - Most Recent Employer(Required) company nameCompany Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Supervisor Name First Last Company Phone(Required)Job Title under Employer most recent Employer(Required) highest position achievedHow long were you employed that the above company?(Required)In months (1-240)REFERENCE #1(Required) First Last Reference #1 PhoneReference #1 Email Relationship with Reference #1 REFERENCE #2 First Last Reference #2 PhoneReference #2 Email Relationship with Reference #2 REFERENCE #3 First Last Reference #3 PhoneReference #3 Email Relationship with Reference #3 Have you ever been injured on the job?(Required) YES No where you had to leave work that dayIF YES TO THE ABOVE QUESTION PLEASE PROVIDE DETAILSHave you ever been convicted of a crime?(Required) YES No IF YES TO THE ABOVE QUESTION PLEASE PROVIDE DETAILS INCLUDING THE CRIMES, WHAT STATE and WHAT WERE THE CONVICTION DATESAre there any current felony charges currently pending against you?(Required) YES No IF YES TO THE ABOVE QUESTION PLEASE PROVIDE DETAILS INCLUDING THE CHARGES, WHAT STATE and WHENDo you have a valid Driver's License?(Required) YES No Do you have reliable transportation?(Required) YES No Will you travel out of state, if required?(Required) YES No Some projects may require temporary travel and work in other nearby states. Are you able to do this? Today's Date(Required) MM slash DD slash YYYY OPTIONAL Upload Resume (PDF ONLY)Accepted file types: pdf, Max. file size: 8 MB.Please Read the following Statements Carefully before clicking SUBMIT I hereby affirm that the information provided on this application (and accompanying resume, if any) is true and complete. I also agree that any false information, misrepresentations, or omissions may disqualify me from further consideration for employment and may result in discipline or dismissal if discovered at a later date. I authorize this company to investigate all statements contained in this application, including disciplinary records of any former employers, police departments, and other references or sources concerning me. I authorize all such references and sources (and the company) to release this information without liability for damage incurred in giving it. I waive any written notice of the release of such records that may be required by state or federal law. Should I receive a conditional offer of employment, I agree to submit to a drug test and physical exam. I hereby give my consent for Arbor Construction Personnel, through an authorized testing service of its choice, to collect blood, urine or saliva samples from me and to conduct any other necessary medical tests to determine the presence of alcohol, drugs, or controlled substances, and I hereby release Arbor Construction Personnel from any liability arising out of such test or its results. Further I give my consent for the release of test results and other relevant medical information to authorized Arbor management for appropriate review. I also understand that if I have a protected disability that affects my ability to do the job I seek, I may ask Arbor Construction Personnel to attempt to make a responsible accommodation for it. I must make my request in writing to the Personnel Department as soon as possible, and under the Michigan Persons with Disabilities Civil Rights Act, such notice must be given no later than 182 days after the date I know or reasonably should know that accommodation is needed. If I am accepted for employment by Arbor, I hereby consent to be tested in the above manner during my employment if I am involved in an accident while performing duties for Arbor. I acknowledge that remaining free of illegal drug use and complying with the company’s substance abuse policy is a condition of my employment. I understand that Arbor Construction Personnel is an “at will employer” and all employees of Arbor are subject to termination at any time, with or without prior notice, discipline or warning, for any or no reason. No person other than the President of Arbor Construction has authority to offer employment for any specified period or to make any contract contrary to the foregoing. Moreover, no such agreement by the President will be enforceable unless it is in writing, pertains specifically to me, and is signed by the President. I UNDERSTAND THAT THIS APPLICATION, VERBAL STATEMENTS BY MANAGEMENT, OR SUBSEQUENT EMPLOYMENT DOES NOT CREATE AN EXPRESS OR IMPLIED CONTRACT OF EMPLOYMENT NOR GUARANTEE EMPLOYMENT FOR ANY DEFINITE PERIOD OF TIME. ONLY THE PRESIDENT OF THE ORGANIZATION HAS THE AUTHORITY TO ENTER INTO AN AGREEMENT OF EMPLOYMENT FOR ANY SPECIFIED PERIOD AND SUCH AN AGREEMENT MUST BE IN WRITING AND SIGNED BY THE PRESIDENT AND THE EMPLOYEE. IF EMPLOYED, I UNDERSTAND THAT I HAVE BEEN HIRED AT THE WILL OF THE EMPLOYER AND MY EMPLOYMENT MAY BE TERMINATED AT ANY TIME, WITH OR WITHOUT REASON AND WITH OR WITHOUT NOTICE. I have read, understand, and by my submitting consent to these statements. Consent(Required) I agree with the above statements
