subject_line
Join Our Team
Personal Information
First Name / Su Nombre
*
Last Name
*
Email Address
*
Phone
*
Address 2
*
City
*
State
*
Zip Code
*
Position Applying For
*
Laborer
Driver
Estimator
Machine Operator
Foreman
Who were you Referred by?
*
🛈
Are you legally authorized to work in the United States?
*
Yes
No
Have you ever been convicted of a felony?
*
Yes
No
If yes, please explain.
Availability
Days Available
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Employment History
Employer 1
Company Name
*
🛈
Address
Position
Start Date
+
End Date
+
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
*
Yes
No
Phone Number
Employer 2
Company Name
Address
Position
Start Date
+
End Date
+
Salary
Supervisor/Manager
Reason for Leaving
May we contact?
Yes
No
Phone Number
References
Reference 1
Name
*
Phone
*
Email Address
Reference 2
Name
*
Phone
*
Email Address
CONSENT FOR RANDOM DRUG/ALCOHOL TESTING
If you are offered and accept employment with RER, Inc. (Company), in the interest of safety for all concerned, you will be required to take a random urine test for drug and/or alcohol use.
I have been fully informed of the reason for this urine test for drug and/or alcohol (I understand what I am being tested for), the procedure involved, and do hereby freely give my consent.
In addition, I understand that the results of this test will be forwarded to my potential employer and become part of my record. If this test is positive, and for this reason I am not hired, I understand that I will be given the opportunity to explain the results of this test.
I hereby authorize these test results to be released to
RER, INC.
*
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W-4 Form
W-4 Form Espanol
California Withholding Form
California Withholding Form Espanol
Direct Deposit Form
Additional Skills
List any additional skills that you would like to mention.
Please submit a copy of your resume if you have one.