Application For Employment – Mason Construction Employee App

Applicant Name

First

Middle

Last

Applicant Address

Address Line 1

Address Line 2

City

State

Zip Code

Applicant Email

Applicant Phone

Social Security #

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Are you currently employed?

Yes
No

Date available to start work

Are you over the age of 18?

Yes
No

Are you legally eligible to work in the United States?

Yes
No

Type of Employment Desired

Full-Time
Part-Time
Temporary
Seasonal

Hourly Salary Desired

Selected Value: 0

Changing the slider will auto calculate the Annual Salary

Annual Salary Desired

Have you worked for Mason before?

Yes
No

Please Provide Dates, Location, Your Position, and Supervisor:

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Education Level

Please provide all employment information for your past three employers starting with the most recent.

Current/Most Recent Employer

Position(s) Held

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone

Date Employed From

Date Employed To

Immediate Supervisor & Title

Wage

Summary of Duties

Reason For Leaving

2nd Most Recent Employer

Position(s) Held

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone

Date Employed From

Date Employed To

Immediate Supervisor & Title

Wage

Summary of Duties

Reason For Leaving

3rd Most Recent Employer

Position(s) Held

Employer Address

Address Line 1

Address Line 2

City

State

Zip Code

Employer Phone

Date Employed From

Date Employed To

Immediate Supervisor & Title

Wage

Summary of Duties

Reason For Leaving

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Are you willing to travel for work with this company?

Yes
No

Do you have a valid driver’s license?

Yes
No

Layout

Do you have a CDL license?

Yes
No

Do you have a current TWIC card?

Yes
No

Please check all languages you understand

English
Spanish
Other

Please summarize any additional job-related training, safety training, skills, computer knowledge, licenses, certificates and any other information you believe is relevant to your qualifications for this job

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Reference #1

Reference Name

First

Last

Reference Phone

Years Known

Reference #2

Reference Name

First

Last

Reference Phone

Years Known

Reference #3

Reference Name

First

Last

Reference Phone

Years Known

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To facilitate entry, employees who work inside petrochemical facilities and/or other industrial facilities will be subject to multiple criminal background screens over the course of their employment. A criminal offense may or may not disqualify you from employment, but any false statement may cause Mason Construction, LLC. to reject your application or terminate you later if you are employed with the company.

Accurately respond to the following statements relating to your criminal history, if any (excluding minor traffic offenses which are punishable only by fine). The following responses are not limited to conduct or things which may have occurred in Texas.

In the last seven years, have you been convicted or pled guilty before a court for any federal, state, or municipal offense?

Yes
No

In the last seven years, have you received deferred adjudication or any similar legal disposition for any federal, state, or municipal offense?

Yes
No

In the last seven years, have you received pretrial diversion or any similar legal disposition for any federal, state, or municipal offense?

Yes
No

In the last seven years, have you received probation or community supervision for any federal, state, or municipal offense?

Yes
No

In the last seven years, have you been convicted of any criminal offense in a country outside the jurisdiction of the United States?

Yes
No

As of the date of this application, do you have any pending charges against you?

Yes
No

How many offenses would you need to disclose below?

Selected Value: 0

If you answered yes to any of the above questions pertaining to criminal history, provide details below

Criminal Offense Detail #1

Criminal Offense Detail #2

Criminal Offense Detail #3

Criminal Offense Detail #4

Criminal Offense Detail #5

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Supporting Documents

Attach Resume/CV

Click or drag a file to this area to upload.

Attach Cover Letter

Click or drag a file to this area to upload.

Certificate

Click or drag a file to this area to upload.

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Former Name(s)/Alias

First

Middle

Last

Date Started Using Alias

Date Stopped Using Alias

Former Name(s)/Alias

First

Middle

Last

Date Started Using Alias

Date Stopped Using Alias

Date you started at your current address?

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Date you started at this previous address?

Previous Address

Address Line 1

Address Line 2

City

State

Zip Code

Date you started at this previous address?

The information contained on this authorization form is correct to the best of my knowledge. I understand and agree that to aid in the proper identification of my file or record(s) the above information, as well as other information, is necessary. I further acknowledge that a copy, facsimile, or electronic copy of this document shall have the same validity, force, and effect as the original.

I consent

In exchange for their consideration of my employment with the company, I hereby authorize Mason Construction, LLC. (Mason) and its designated agents and representatives (including but not limited to third parties designated by Mason) to make inquiries and take any other lawful steps they deem subjectively necessary so that they may conduct a comprehensive review of my background causing a consumer report and/or an investigative consumer report to be generated for employment purposes. I understand that the scope of the consumer report and/or the investigative consumer report may include, but is not limited to information about the following areas: verification of social security number, credit reports, current and previous residences, employment history, education background, character references, drug testing, civil and criminal history from any or all federal, state, county jurisdictions, driving records, birth records, and any other public and private records.

I consent

I further authorize any individual, company, firm, corporation, educational institution, or public agency to divulge all information, whether verbal or written, pertaining to me to Mason, its designated agents or other representatives. I further authorize the complete release of any records or data pertaining to me which the individual, company, firm, corporation, educational institution, or public agency may have, which is intended by me to include all information and data received from other sources.

I consent

Signature

Date

CA, MN & OK Residents please note: In connection with your application for employment, your consumer report may be obtained and reviewed. Under California, Minnesota and Oklahoma law, you have a right to receive a free copy of your consumer report by checking the appropriate box below

Yes, I am a California resident and would like a free copy of my consumer report
Yes, I am a Minnesota resident and would like a free copy of my consumer report
Yes, I am an Oklahoma resident and would like a free copy of my consumer report

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Authorizations

I hereby authorize the potential employer and any affiliate to contact, obtain, and verify the accuracy of information contained in this application from all previous employers, any educational institution, and/or references.

I consent

I understand that any intentional misrepresentation or material omission made by me on this application may constitute grounds for rescission of a job offer or immediate termination of employment if I am employed, without notice, whenever it may be discovered.

I consent

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either I or the employer can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

I consent

I understand that this is a drug free workplace and consent to compliance with this policy as a condition of employment. I further agree to submit to any job-related medical exams or drug tests that may be required.

I consent

I also understand that, if I employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time will result in immediate termination of employment.

I consent

I have read and fully understood the foregoing statements and I seek employment under these conditions.

I consent

Do you authorize a drug screening as part of the employment?

I consent

Do you authorize a background check as part of the employment?

I consent

Applicant Signature

Date of Application