Employment

FILL OUT THE APPLICATION BELOW:

 

David Herrholtz, President
1350 Route #30
P.O. Box 277
Laughlintown, PA 15655 0277
Phones: 724-238-4782 – 238-3840
Fax: 238-7252

PA Contractor ID: PA021936

Ligonier Construction is an equal opportunity employer, we hire hard working, dedicated workers, whenever there are openings. We are always accepting applications. Print out the pdf application, fill it out and drop it off at our office, mail it directly to us, or email the application and/or resume to:

Subject

Date


PERSONAL INFORMATION

Full Name: Last, First, M.I.

Date

Street Address

Apartment/Unit#

City, State, Zip (required)

Phone (required)

Your Email

Date Available

Position Applied for

Social Security Number

Desired Salary

Are you a citizen of the United States?
YesNo

If no, are you authorized to work in the U.S.?
YesNo

Have you ever worked for this company?
YesNo

If yes, when?

Have you ever been convicted of a felony?
YesNo

If yes, explain:


EDUCATION

High School: From what grade to what grade?

Did you graduate?
YesNo

Degree

College: From when to when?

Did you graduate?
YesNo

Degree

Additional Education

Did you graduate?
YesNo

Degree



Please list three professional references:

FIRST REFERENCE:

Full Name

Company

Address

Relationship

Phone

SECOND REFERENCE:

Full Name

Company

Address

Relationship

Phone

THIRD REFERENCE:

Full Name

Company

Address

Relationship

Phone


PERIODS OF EMPLOYMENT:


1.

Company

Address

Phone

Supervisor

Job Title

Starting Salary

Responsibilities

What was your start date to end date?

Reason for leaving?

May we contact your previous supervisor for a reference?
YesNo




2.

Company

Address

Phone

Supervisor

Job Title

Starting Salary

Responsibilities

What was your start date to end date?

Reason for leaving?

May we contact your previous supervisor for a reference?
YesNo




3.

Company

Address

Phone

Supervisor

Job Title

Starting Salary

Responsibilities

What was your start date to end date?

Reason for leaving?

May we contact your previous supervisor for a reference?
YesNo




KNOWLEDGE/SKILLS/ABILITIES (KSAs)

List KSAs you possess and believe relevant to the position you seek, such as operating heavy equipment, computer skills, fluency in language(s), etc.


CERTIFICATION AND SIGNATURE

In case of emergency notify: Please list name, address and phone.

I am aware that any omissions, falsification, misstatements, or misrepresentation above may disqualify me for employment consideration and, if I am hired, may be grounds for termination at a later date. I understand that any information I give may be investigated as allowed by law. I consent to the release of information about my ability, employment history, and fitness for employment by employers, schools, and other individuals and organizations for employment purposes. This consent shall continue to be effective during my employment if I am hired. I certify that to the best of my knowledge all of the statements contained herein and on any attachments are true, correct, complete, and made in good faith.

Signature: Please type your full name.

Date