Application Form

Personal Information

Questions with * are required.

Street Address

Phone Number

Alternate Phone Number

Are You Legally Authorized to Work in the United States?

Yes

Have You Ever Worked for Branscum?

Yes

If Yes, When?

Do You Have Reliable Transportation to Job Sites?

Yes

If Hired, Will You be Available to Work Overtime and/or Weekends?

Yes

Are you Over the Age of 18?

Yes

Have you ever been convicted of a crime?

Yes

If Yes, Please Explain with Dates and Details.

Education

High School / City / State

Did You Graduate?

Yes

Vocational Trade / City / State & Degree or Certificate

Did You Graduate?

Yes

College / City / State & Degree

Did You Graduate?

Yes

Skills, Certifications, Training - List Any Relevant Skills, Training, and/or Certifications

Employment Desired

Position(s)

Desired Wage

Date Available to Start

Employment History

1. Current or Most Recent Employer Name

Employer Phone Number

Job Title

Start Date

End Date

Pay

Job Duties

Reason for Leaving

2. Second Most Recent Employer Name

Employer Phone Number

Job Title

Start Date

End Date

Pay

Job Duties

Reason for Leaving

References - List 3 Professional References Not Related to You

1. Name, Company, Phone Number, and Relationship to You.

2. Name, Company, Phone Number, and Relationship to You.

3. Name, Company, Phone Number, and Relationship to You.

Are you aware of anything that could prevent you from performing the essential functions of the job for which you are applying, with or without a reasonable accommodation?

Yes

If yes, please explain and describe the function that cannot be performed.

Resume

Browse files

Size limit for each file is 20.0 MB

Referral

Were you referred by a current Branscum or Precision employee?

Yes

If yes, who?

Submission of Application to Branscum Construction

I certify that the facts set forth in this Application for Employment are true and complete to the best of my knowledge. I understand that if I am employed, false statements, omissions or misrepresentations may result in my dismissal. I authorize the Employer to make an investigation of any of the facts set forth in this application and release the Employer from any liability. The employer may contact any listed references on this application. I acknowledge and understand that the company is an “at will” employer. Therefore, any employee (regular, temporary, or other type of category employee) may resign at any time, just as the employer may terminate the employment relationship with any employee at any time, with or without cause, with or without notice to the other party.

Branscum Construction is an equal opportunity employer, dedicated to a policy of non-discrimination in employment on any basis including sex, race, color, national origin, religion, age, disability, veteran status, genetic information, or citizenship.