Field Shop Application – Western Building Group

APPLICANT INFORMATION

TODAYS DATE

FIRST NAME

LAST NAME

MIDDLE

PERMANENT ADDRESS

CITY

STATE

ZIP CODE

PHONE

EMAIL

OTHER PHONE

LEGALLY ELIGIBLE TO WORK IN THE US?

Yes No

ARE YOU ABLE TO PASS A MILITARY BACKGROUND CHECK FOR WORK ON MILITARY BASES?

Yes No

are you 18 or older?

Yes No

WILLING TO WORK OUT OF TOWN?

Yes No

HAVE YOU ENTERED INTO AN AGREEMENT THAT WOULD PROHIBIT YOU FROM WORKING FOR US?

Yes No

ARE YOU ABLE TO MEET THE ATTENDANCE REQUIREMENTS OF THIS JOB?

Yes No

POSITION DESIRED

POSITION APPLYING FOR

DESIRED SALARY

DATE YOU CAN START WORK

ARE YOU CURRENTLY EMPLOYED?

Yes No

MAY WE CONTACT YOUR CURRENT EMPLOYER?

Yes No

HAVE YOU WORKED AT WBG BEFORE?

Yes No

HOW DID YOU HEAR ABOUT THIS POSITION OR WBG?

FRIEND KSL.COM NEWSPAPER WORD OF MOUTH SOCIAL MEDIA SITE

NAME OF THE PERSON WHO REFERRED YOU.

DO YOU HAVE A CURRENT DRIVER’S LICENSE?

Yes No

DO YOU HAVE A CLEAN DRIVING RECORD (NO CITATIONS) FOR THE PAST FIVE YEARS?

Yes No

TRAINING AND CERTIFICATIONS

ATTACH RESUME FOR OFFICE POSITIONS

DO YOU HAVE ANY HEAVY EQUIPMENT CERTIFICATIONS? IF SO, PLEASE LIST:

DO YOU HAVE SPECIALTY TOOL CERTIFICATIONS – LIST:

ANY TRADE SCHOOL CERTIFICATIONS?

ANY OTHER LICENSES OR CERTIFICATIONS?

MILITARY SERVICES?

Yes No

SPECIAL STUDIES/TRAININGS/HOBBIES:

PREVIOUS EXPERIENCE

EMPLOYER NAME

DATE FROM

DATE TO

POSITION

PAY

REASON FOR LEAVING

REFERENCES

(LIST TWO INDIVIDUALS YOU’VE KNOWN AT LEAST ONE YEAR WHO ARE NOT RELATED TO YOU)

REFERENCES NAME

PHONE NUMBER

HOW YOU KNOW THEM

HOW LONG YOU’VE KNOWN

REFERENCES NAME

PHONE NUMBER

HOW YOU KNOW THEM

HOW LONG YOU’VE KNOWN

Affirmative Action

Voluntary Self-Identification Form

Please complete the following information requested below and return it with your application.
Western Building Group is an Equal Opportunity Employer. As required by law, we must record certain information to be made part of our Affirmative Action Program and for reporting under Federal Subcontractor laws. Applicants for company employment are invited to participate in Affirmative Action Program by reporting their status as disabled, disabled veteran, veteran of Vietnam era or other minority. In extending this invitation you are also advised that: (a) workers (applicants) are under no obligation to respond, but may do so in the future if they choose; (b) responses will remain confidential within the Human Resources Department; and (c) responses will be used only for the necessary information to include in our Affirmative Action Program. We are a company that values diversity. We actively encourage women and minorities to apply. Refusal to provide this information will not be used in any employment- related decisions and will not subject you to any adverse treatment.

Section 1: Please check all that apply (see reverse for definitions)

if you wish to not Self-Identify Check here.

I do not wish to Self-Identify

Section 2: Please check category of employment

Executive/Senior Level Official

First/Mid-Level Official or Manager

Professional

Technician

Sales

Administrative

Craft Worker

Fabrication Shop

Laborers & Helpers

TECHNICAL QUESTIONS – EMPLOYMENT APPLICATION

If you are applying for Field and Shop positions and Project Management positions, please complete by marking each answer with an "Yes or a No".
Answering yes or no won’t stop you from being hired – it just tells us what training you’ll need before going in the field or shop. Please be completely honest in your answers:

UPLOAD YOUR RESUME- *Required

uploade res

APPLICANT'S CERTIFICATION AND AGREEMENT

By submitting this application online, I hereby certify that the facts set forth in the above employment application are true and complete to the best of my knowledge and authorize Western Building Group to verify their accuracy and to obtain reference information on my work performance. I hereby release Western Building Group from any/all liability of whatever kind and nature which, at any time, could result from obtaining and having an employment decision based on such information. I understand that, if employed, falsified statements of any kind or omissions of facts called for on this application shall be considered sufficient basis for dismissal. I understand that should an employment offer be extended to me and accepted that I will fully adhere to the policies, rules and regulations of employment of the Employer. However, I further understand that neither the policies, rules, regulations of employment or anything said during the interview process shall be deemed to constitute the terms of an implied employment contract. I understand that any employment offered is for an indefinite duration and at will and that either I or the Employer may terminate my employment at any time with or without notice or cause.