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Canyon Contracting Careers

Application for Employment – English

We are an equal opportunity employer and do not unlawfully discriminate in employment. No question on this application is used for the purpose of limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Equal access to employment, services, and
programs is available to all persons. Those applicants requiring reasonable accommodation to the application and/or interview process should notify a
representative of the organization.

Download PDF(writable)

Applicant name:
Date:
Position(s) applied for or type of work desired:
Address:
Telephone #:
Cell Phone #:
Type of employment desired:
 full-time part-time temporary
Date you will be available to start work:
Are you able to meet the attendance requirements?
 Yes No
Do you have any objection to working overtime if necessary?
 Yes No
Can you travel if required by this position?
 Yes No
Have you ever been previously employed by our organization?
 Yes No
Can you submit proof of legal employment authorization and identity?
 Yes No
If you are under 18, can you furnish a work permit if it is required?
 Yes No
Drivers license number (if driving is an essential job duty):
How did you hear about us?
 Indeed LinkedIn Website Social Media Radio
When may we contact your current employer?
Have you ever been discharged from a prior job, if yes, please explain

Employment History

Please provide all employment information for your past four employers starting with the most recent.

Employer:
Position held:
Address:
Telephone #:
Immediate supervisor and title:
Dates employed:
 
Salary:
Job summary:
Reason for leaving:
Employer:
Position held:
Address:
Telephone #:
Immediate supervisor and title:
Dates employed:
 
Salary:
Job summary:
Reason for leaving:
Employer:
Position held:
Address:
Telephone #:
Immediate supervisor and title:
Dates employed:
 
Salary:
Job summary:
Reason for leaving:

Other Skills and Qualifications

Summarize any job-related training, skills, licenses, certificates, and/or other qualifications:

Educational History

List school name and location, years completed, course of study, and any degrees earned:

High school:
College:
Technical Training:
Other:

Professional References

List 3 references names, telephone numbers, and years known (do not include relatives):

I hereby authorize the potential employer to contact, obtain, and verify the accuracy of information contained in this application from all-previous employers, educational institutions, and references. I also hereby release from liability the potential employer and its representatives for seeking, gathering, and using such information to make employment decisions and all other persons or organizations for providing such information. This application for employment shall be considered active for a period of time not to exceed 45 days.

I understand that any misrepresentation or material omission made by me on this application will be sufficient cause for cancellation of this application or immediate termination of employment if I am employed, whenever it may be discovered.

If I am employed, I acknowledge that there is no specified length of employment and that this application does not constitute an agreement or contract for employment. Accordingly, either the employer or I can terminate the relationship at will, with or without cause, at any time, so long as there is no violation of applicable federal or state law.

I understand that it is the policy of this organization not to refuse to hire or otherwise discriminate against a qualified individual with a disability because of that persons need for a reasonable accommodation as required by the ADA.

I also understand that if I am employed, I will be required to provide satisfactory proof of identity and legal work authorization within three days of being hired. Failure to submit such proof within the required time shall result in immediate termination of employment.

I represent and warrant that I have read and fully understand the foregoing, and that I seek employment under these conditions.


UNDER MARYLAND LAW, AN EMPLOYER MAY NOT REQUIRE OR DEMAND AS A CONDITION OF EMPLOYMENT, PROSPECTIVE EMPLOYMENT, OR CONTINUED EMPLOYMENT, THAT AN INDIVIDUAL SUBMIT TO OR TAKE A LIE DETECTOR OR SIMILAR TEST. AN EMPLOYER WHO VIOLATES THIS LAW IS GUILTY OF A MISDEMEANOR AND SUBJECT TO A FINE NOT EXCEEDING $100.00.

I REPRESENT AND WARRANT THAT I HAVE READ AND FULLY UNDERSTAND THE ABOVE.

Applicant Signature(Typed):
Date:

HOW TO APPLY

Please email your completed application to [email protected] or stop in Wednesday – Friday.

APPLY NOW - ENGLISH
APPLY NOW - SPANISH