Employment Application -

Step 1 of 6

Date*

PERSONAL:

Name*

First Middle Last

Address*

Number & Street City State Zip

Email Address

Phone*

Position Sought*

Full Time or Part Time

Date Available*

Salary Desired*

Are you over 18 years old?*

Yes

Are you legally eligible for employment in the United States?*

If offered employment, you will be REQUIRED to provide documentation to verify eligibility.

Yes

EDUCATION:

Please indicate education or training which you believe qualifies you for the position you are seeking.

High School

School(s)

City/State

No. of Years Completed

Diploma*

Yes

GED

Yes

College and/or Vocational School

School(s)

City/State

No. of Years Completed

Major

Degree(s) Earned

Other Training and/or Degrees

School(s)

City/State

Course

Degree/Certificate Earned

PROFESSIONAL LICENSE OR MEMBERSHIP:

Type of License(s) Held

Expiration Date

Other Professional Memberships

(You need not disclose membership in professional organizations that may reveal information regarding age, race, color, national origin, marital status, gender (including gender identity and transgender), religion, sexual orientation, military status, genetic information, qualified disability, domestic violence victim status, familial status, or any other characteristic protected by law.)

SKILLS:

Office

Other

Have you ever been employed in any division of Bonacio Construction, Inc.?*

(Metal Division, B&B Plumbing & Heating, Julie & Co. Realty, West Side Management of Saratoga)

Yes

If yes, please state division name, location and dates of employment.

RECORD OF CONVICTION:

During the last ten years, have you been convicted of a crime other than a minor traffic offense?*

Yes

If yes, please explain.

(A conviction will not necessarily automatically disqualify you for employment. Rather, such factors as age and date of conviction, seriousness and nature of crime and rehabilitation will be considered.)

REFERENCES:

Professional

Name

Company

Address

Phone

Name

Company

Address

Phone

Personal

Name

Company

Address

Phone

Name

Company

Address

Phone

ACKNOWLEDGEMENTS:

Bonacio Construction, Inc., West Side Management of Saratoga, LLC, B&B Plumbing, Inc., and Julie & Co. Realty, LLC, are all equal opportunity employers and does not discriminate because of age, race, color, national origin, marital status, gender (including gender identity and transgender), religion, sexual orientation, military status, genetic information, qualified disability, domestic violence victim status, familial status, or any other characteristic protected by law.

Please read the following*

I understand and agree that if driving is a requirement of the job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver’s license and automobile liability insurance in an amount equal to the minimum required by the state where I reside.

I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state, and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment (post-offer) drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug- free workplace, consistent with applicable federal, state, and local law. I also understand that all employees of the location, pursuant to the Company’s policy and federal, state, and local law, may be subject to urinalysis and/or blood screening or other medically recognized tests designed to detect the presence of alcohol or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the Company’s policies and applicable federal, state, and local law.

If employed by the Company, I understand and agree that the Company, to the extent permitted by federal, state, and local law, may exercise its right, without prior warning or notice, to conduct investigations of property (including, but not limited to, files, lockers, desks, vehicles, and computers) and, in certain circumstances, my personal property.

I understand and agree that as a condition of employment and to the extent permitted by federal, state, and local law, I may be required to sign a confidentiality, non-compete, and/or conflict of interest statement.

I certify that all the information on this application, my resume, or any supporting documents is complete and accurate to the best of my knowledge. I understand that any falsification, misrepresentation, or omission of any information may result in disqualification from consideration for employment or, if employed, disciplinary action, up to and including immediate dismissal.

I UNDERSTAND THAT NEITHER THIS APPLICATION NOR ANY COMMUNICATION BY A MANAGEMENT REPRESENTATION IS INTENDED TO CREATE OR DOES CREATE A CONTRACT OF EMPLOYMENT, OFFER, OR PROMISE OF EMPLOYMENT. I ACKNOWLEDGE THAT IF HIRED BY THE COMPANY, EMPLOYMENT IS ON AN AT-WILL BASIS. THIS MEANS THE COMPANY IS FREE TO TERMINATE MY EMPLOYMENT AT ANY TIME, WITH OR WITHOUT CAUSE OR ADVANCE NOTICE, IN ACCORDANCE WITH STATE LAW, AND ACCEPTANCE OF EMPLOYMENT IS NOT A CONTRACT OF EMPLOYMENT FOR ANY SPECIFIED TIME. SIMILARLY, I AM FREE TO TERMINATE MY EMPLOYMENT WITH THE COMPANY AT ANY TIME FOR ANY REASON. THIS AT-WILL PROVISION MAY BE MODIFIED OR WAIVED ONLY IN A WRITTEN AGREEMENT SIGNED BY AN AUTHORIZED REPRESENTATIVE OF THE COMPANY AND ME.

I understand this Company hires only individuals who are legally eligible to work in the United States.

I have read and agree to the acknowledgments

Applicant Signature*

This application for employment is good for only 30 days. Consideration for employment after 30 days requires a new application.

Date

PERSONAL:

EDUCATION:

High School

College and/or Vocational School

Other Training and/or Degrees

PROFESSIONAL LICENSE OR MEMBERSHIP:

SKILLS:

RECORD OF CONVICTION:

EMPLOYMENT:

REFERENCES:

Professional

Personal

ACKNOWLEDGEMENTS: