Employment

Personal Information

Name(Required)

First Middle Initial Last

Email(Required)

Phone(Required)

Address(Required)

Street Address City State ZIP Code

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Max. file size: 2 MB.

Are you 18 years of age or older?(Required)

Yes

Are you a military veteran?(Required)

Yes

Active Date (From)(Required)

Active Date (To)(Required)

Have you ever been known by any other name(s) that this company will require to verify any of the information on this application?(Required)

Yes

Additional Name(Required)

First Last

Job Information

Job Title Desired(Required)

Wage Desired(Required)

Date you can start:(Required)

Are you available for work:(Required)

Full Time

Part Time

Shift Work

Seasonal

Are you on lay-off and subject to recall?(Required)

Yes

Can you travel if a job requires it?(Required)

Yes

Would you accept employment:

Out-of-Town

Statewide

Unaccompanied by Family

If the position you are applying for involves the driving of a vehicle or equipment which requires a license, do you have a valid license?(Required)

Yes

If yes, please specify the type of license:(Required)

Operating License

Commercial Drivers License

Other

License Number(Required)

License State of Issue(Required)

License Expiration Date(Required)

Have you had a motor vehicle accident or moving violation in the past 3 years?(Required)

Yes

Please explain accident or violation(Required)

What types and makes/models of construction equipment can you operate or repair?

List any craft training programs in which you have participated

Summarize any special skills or qualifications acquired from previous employment or other experience(Required)

Do you have your own craft tools, clothing, and other equipment?(Required)

Yes

Have you attended High School, Vocation/Technical School, or College?(Required)

Yes

List the school(s) attended(Required)

Level of Achievement(Required)

Graduation

GED

Certification

References

Reference #1

Name

First Last

Company

Relationship

Phone

Reference #2

Name

First Last

Company

Relationship

Phone

Reference #3

Name

First Last

Company

Relationship

Phone

Employment History

Previous Employment #1

Company

Supervisor

Phone

Responsibilities

Reason For Leaving

Last Rate of Pay

Previous Employment #2

Company

Supervisor

Phone

Responsibilities

Reason For Leaving

Last Rate of Pay

Previous Employment #3

Company

Supervisor

Phone

Responsibilities

Reason For Leaving

Last Rate of Pay

Work Eligibility Status

Have you ever been convicted of a crime?(Required)

Yes

Please explain below.(Required)

Are you legally eligible to work in the United States?(Required)

Yes

Disclaimer and Signature

I certify that the information contained in this application is true, complete, and accurate. I understand that, if employed, false statements or omissions on this application may result in rejection of my application and/or discharge at any time during my employment. I authorize investigation of all statements contained herein. I further authorize all individuals, companies, schools, corporations, courts, and law enforcement agencies to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise. I release all parties from all liability for any damage that may result from divulging or using information. I understand and agree that, if hired, my employment is for no definite period and either I or the company can terminate the employment relationship at any time, with or without notice. This employment relationship exists regardless of any other statements of policies to the contrary. I realize that under certain provisions of Iowa law, I may be required to submit to a post offer, pre-employment physical (which will include a drug test) as a condition of my employment. I hereby agree to submit to such an examination if required by company policy and permit disclosure of the results to the company. Federal and state laws prohibit discrimination in hiring due to age, race, color, creed, sex, national origin, religion , disability, or veteran’s status.

Signature(Required)

Today's Date(Required)

Equal Employment Opportunity: Baker Enterprises, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Baker Enterprises, Inc complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

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Personal Information

Job Information

References

Employment History

Work Eligibility Status

Disclaimer and Signature