Application For Employment

Ryan Construction Services, Inc.5793 W Veterans Memorial Hwy, Suite 101 Bridgeport, WV 26330 Phone: 304-842-5578

Today's Date: *

Ryan Construction Services, Inc. is an equal opportunity employer. This application will not be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

First Name *

Middle Name

Last Name *

Street Address *

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Phone *

Email Address

Work Desired *

Date Available *

Do you have reliable transportation to and from work? *YesNo

Do you have a valid driver’s license? *YesNo

Have you ever worked for Ryan Construction Services, Inc. before? *YesNo

If YES, when?

Do you have any friends, relatives or acquaintances working for Ryan Construction Services, Inc.? *YesNo

If YES, state name and relationship

Are you 18 years of age or older? *YesNo

Are you a U.S. citizen or approved to work in the U.S. *YesNo

What documentation can you provide as proof of citizenship or legal status? *

Will you consent to a mandatory controlled substance test? *YesNo

Do you have any condition which would require job accommodations? *YesNo

If YES, please describe accommodations required below.

Job Skills/Qualifications/Certifications/Licenses Held/CDL/Machines and equipment you are qualified to operate. Please list below the skills and qualifications you possess for the position you are applying:

U.S. Military Service History

Date of Entry

Month

Day

Year

Brand Enlisted

Military Rank at Discharge

Years Served

Military Skills you possess that would be an asset for this position

High School

High School Name

City

State/Province

Year Graduated

Degree Earned

College/University

College Name

City

State/Province

Year Graduated

Degree Earned

Vocational School/Specialized Training

Vocational School Name

City

State/Province

Year Graduated

Degree Earned

Previous Employment

1st Company

Company Name / Address

Dates: From -To

Rate of Pay

Title of Job Position Held Name of Supervisor

Reason for Leaving

2nd Company

Company Name / Address

Dates: From -To

Rate of Pay

Title of Job Position Held Name of Supervisor

Reason for Leaving

3rd Company

Company Name / Address

Dates: From -To

Rate of Pay

Title of Job Position Held Name of Supervisor

Reason for Leaving

Personal References

First Name *

Last Name

Occupation *

Contact Phone *

First Name *

Last Name

Occupation *

Contact Phone *

First Name *

Last Name

Occupation *

Contact Phone *

Salary Requirement Per-Year

USD

Date Available To Start *

At-Will Employment and Inquiry Statement

The relationship between you and Ryan Construction Services, Inc. is referred to as “employment at will.” This means that your employment can be terminated at any time for any reason, with or without cause, with or without notice, by you or Ryan Construction Services, Inc. No representative of Ryan Construction Services has authority to enter into any agreement contrary to the foregoing “employment at will” relationship. You understand that your employment is “at will” and that you acknowledge that no oral or written statements of representations regarding your employment can alter your at-will employment status, except for a written statement signed by the Company’s President. I further understand that an investigative report may be made as to the information herein listed, including personal character, background information and previous work experience, and I consent to and authorize any person to furnish information for such report. I guarantee the correctness of the preceding statements. I understand that the making of any false statements on this application will be sufficient cause for discharge.

Applicant Signature: *

Please Sign Here. This is to confirm all information has been entered truthfully, to the best of your ability.

Today's Date *