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PLEASE PRINT ALL INFORMATION REQUESTED EXCEPT SIGNATURE

Patriot Concrete Cutting, LLC

269 S. OLD PIEDMONT HWY.

P.O. BOX 504

PIEDMONT, SC 29673

Page 1  -  APPLICATION FOR EMPLOYMENT

APPLICANTS MAY BE TESTED FOR ILLEGAL DRUGS

 

PLEASE COMPLETE PAGES 1-5.

DATE ________________________________

Name  _______________________________________________________________________________________________

                         Last                                                                    First                                                                   Middle                                                               Maiden

Present address ___________________________________________________________________________________

                                                                           Number                                                             Street                                        City                  State                Zip

How long ____________________

Social Security No. _______ –  _____  –  _________

Telephone (      )                                 

If under 18, please list age _____________________


Position applied for  (1)________________________

and salary desired   (2) ________________________

(Be specific)

Days/hours available to work

No Pref ________  Thur                       

Mon __________   Fri                         

Tue ___________   Sat                        

Wed __________   Sun                       

How many hours can you work weekly? _________________________   Can you work nights?  (   ) No  (   ) Yes                         

Employment desired            (   ) FULL-TIME ONLY        (   ) PART-TIME ONLY             (   ) FULL- OR PART-TIME

When available for work?_______________

________________________________________________________________________________________________

 

TYPE OF SCHOOL

NAME OF SCHOOL

LOCATION
(Complete mailing address)

NUMBER OF YEARS COMPLETED

MAJOR & DEGREE

High School

 

 

 

 

 

 

 

 

 

College

 

 

 

 

 

 

 

 

 

Bus. or Trade School

 

 

 

 

 

 

 

 

 

Professional School

 

 

 

 

 

 

 

 

 

 

HAVE YOU EVER BEEN CONVICTED OF A CRIME?            (   ) No                         (   )  Yes

If yes, explain number of  conviction(s), nature of offense(s) leading to conviction(s), how recently such offense(s) was/were committed, sentence(s) imposed, and type(s) of rehabilitation. _________________________________________________

________________________________________________________________________________________________