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Visscher Construction Inc.
Building Your Better Tomorrow
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Ludington, MI
(231) 852-4734
office@visscherinc.com
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24/7 Disaster Restoration
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24/7 Disaster Restoration
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Roofing
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Job Application
Visscher Contruction, Inc., is an Equal Opportunity Employer.
Personal Information
1. Full Name
*
First
Middle
Last
2. Citizenship Status
*
Select
US Citizen
Not a US Citizen
3. Birthdate
*
4. Driver's License Status
*
Select
I have a valid drivers license
I do not have a valid drivers license
5. Telephone Number
*
6. Other name(s), if any, under which you have worked or attended school
7. Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
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Thailand
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Virgin Islands, U.S.
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Country
Career Information
8. Position Desired
*
9. Years of Related Experience
*
10. Employment Desired
*
Full-Time
Part-Time
11. Date Available to Start
*
12. Are you willing to work any shift?
*
Yes
No
12.5. If no, please explain.
History
13. Have you ever been convicted of a felony or misdemeanor?
*
Yes
No
14. Are there any felony charges pending against you?
*
Yes
No
If you answered yes to questions 13 or 14 above, please provide the following information: Date of the Offense, Offense, Place, and Disposition for each offense.
Military, Education, & Employment Experience
15. US Military Service
Branch of Service
Years Served
Rank
Discharge
16. Education
Institution
Name & Location of School
Number of Years Attended
Major Field
Degree Awarded
Do you have any additional education to list?
Yes
No
Institution (2)
Name & Location of School (2)
Number of Years Attended (2)
Major Field (2)
Degree Awarded (2)
Do you have any additional education to list? (2)
Yes
No
Institution (3)
Name & Location of School (3)
Number of Years Attended (3)
Major Field (3)
Degree Awarded (3)
17. Do you have any commitments to another employer that might affect your employment with us?
Yes
No
17.5 If yes, please explain.
18. Work Experience: Please list ALL previous employment and begin by listing your last or present employment FIRST. Attaching a resume is not sufficient.
Employment Dates
Company (Name & Address)
Position
Duties
Reason for Leaving
Wage/Salary
Do you have any additional employment to list?
Yes
No
Employment Dates (2)
Company (Name & Address) (2)
Position (2)
Duties (2)
Reason for Leaving (2)
Wage/Salary (2)
Do you have any additional employment to list? (2)
Yes
No
Employment Dates (3)
Company (Name & Address) (3)
Position (3)
Duties (3)
Reason for Leaving (3)
Wage/Salary (3)
References
19. Personal References (3 References Unrelated to you that you have known for 2 years or more)
Name (Reference 1)
*
Phone Number (Reference 1)
*
Name (Reference 2)
*
Phone Number (Reference 2)
*
Name (Reference 3)
*
Phone Number (Reference 3)
*
Resume Upload
If available, please provide a copy of your resume. (pdf, doc, or docx)
Accepted file types: pdf, docx, doc, Max. file size: 512 MB.
Agreements (Please Read Carefully) & Signature
Agreement #1
*
By checking this box, I affirm that the information provided on this application (and accompanying resume, if any), is true and complete to the best of my knowledge, and I agree that falsified information or significant omissions may disqualify me from further consideration for employment and may be considered justification for dismissal if discovered at a later date.
Agreement #2
*
By checking this box, I request that previous employers contacted by Visscher Construction, Inc., in connection with this application fully respond to all inquiries concerning such previous employment and specifically waive prior written notice of disclosure of my personal record information including disciplinary reports, letters of reprimand, or other disciplinary action. In consideration of the acceptance of my application, I release Visscher Construction, Inc., and previous employers of any claimed liability arising out of such response and disclosure.
Agreement #3
*
By checking this box, if offered employment, I agree and consent to provide blood and urine specimens for alcohol and drugscreening analysis. I understand and agree that Visscher Construction, Inc., may require me to undergo a physical examination. I also consent to an investigation of my driving record, and, when appropriate a full background investigation. I understand that any offer of employment by Visscher Construction, Inc., will be contingent on the results of such investigation, alcohol and drug screening, and physical examination. I acknowledge that Visscher Construction, Inc. has a zero-tolerance drug policy, and that violation of the same represents misconduct for purposes of employment termination.
Agreement #4
*
By checking this box, I understand that if hired I will be an at-will employee and that my employment and compensation can be terminated at any time, with or without cause and with or without notice, at the option of either Visscher Construction, Inc., or myself. I further understand that no supervisor or representative of Visscher Construction, Inc., other than the President, has any authority to enter into any agreement contrary to the foregoing and that such agreement must be in writing and signed by the President. In consideration of such employment, I agree to conform to the rules and policies of the company, including the arbitration procedure.
Dated
*
Month
Day
Year
Digital Signature
*
Pleaase Type Your Full Name
Email Address
*
Please provide an email address for us to send a copy of your application to.
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