Build Your Future With Us ITMC Employment Application X/TwitterThis field is for validation purposes and should be left unchanged.Applicant InformationFull Name: Last First M.I. Date: MM slash DD slash YYYY Address: Street Address Apartment/Unit# City State / Province / Region ZIP / Postal Code Home Phone:Cell Phone:Email Address: Date Available: MM slash DD slash YYYY Desired Salary per hour: $Desired Salary per year: $Position Applied for:Days Available to Work (Check all that Apply)Mornings: Sunday Monday Tuesday Wednesday Thursday Friday Saturday Afternoons: Sunday Monday Tuesday Wednesday Thursday Friday Saturday Evenings: Sunday Monday Tuesday Wednesday Thursday Friday Saturday Do you possess a valid driver’s license? Yes No Do you have reliable transportation? Yes No Are you at least 18 years of age? Yes No Are you authorized to work in the U.S.? Yes No Do you authorize ITM Construction, Inc., to conduct a background check Yes No If OtherEducation Attach additional sheets, if necessary.High School/ GED:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Did you graduate? Yes No Diploma:College:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Did you graduate? Yes No Degree:Business/Technical:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Did you graduate? Yes No Degree:Other:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Did you graduate? Yes No Degree:Other qualifications such as special skills or abilities that should be considered:Tools, machinery, or other equipment you are trained or experienced in operating:Professional licenses, certifications or registrations:Additional skills, including supervision skills, other languages or information regarding the career/occupation you wish to bring to the employer’s attention:ReferencesFull NameRelationship:Company:Phone:Email: Full NameRelationship:Company:Phone:Email: Full NameRelationship:Company:Phone:Email: Previous EmploymentCompany:Phone:Address:Supervisor:Job Title:Starting Salary: $Ending Salary: $Responsibilities:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason for Leaving:Company:Phone:Address:Supervisor:Job Title:Starting Salary: $Ending Salary: $Responsibilities:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason for Leaving:Company:Phone:Address:Supervisor:Job Title:Starting Salary: $Ending Salary: $Responsibilities:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason for Leaving:Military ServiceBranch:From: MM slash DD slash YYYY To: MM slash DD slash YYYY Rank at Discharge:Type of Discharge:If other than honorable, explain:Disclaimer and Signature I certify that my answers to the foregoing questions are true and accurate, without any consequential omissions of any kind whatsoever. I understand that if I am employed by ITM Construction, Inc., any false, misleading or otherwise incorrect statements made on this Application form or any online applications or questionnaires or during any telephone or in-person interviews may be grounds for my immediate discharge. I hereby authorize ITM Construction, Inc., to contact any company or individual it deems appropriate in order to investigate my employment history, education, character and qualification, and I give my full and complete consent to their revealing any and all information they wish, as a result of that investigation. In addition, I hereby waive my right to bring any cause of action against ITM Construction, Inc., or these companies or individuals for defamation, invasion of privacy or any other reason, because of their statements. I agree that, if I am employed, I will abide by all the policies, rules and regulations of ITM Construction, Inc., I understand that the taking of drugs and alcohol tests, when given pursuant to policy, are a condition of employment or continued employment and refusal to take such tests, when asked, may be grounds for my immediate discharge. Print NameDate MM slash DD slash YYYY Signature
