30+ Years of exceeding expectations

Parker Stockstill is Always looking for New Talent!

JOB APPLICATION

Parker Stockstill Construction, Inc.

7255 Jobe Road, Elm City, NC 27822

252-236-3434

Parker Stockstill Construction, Inc. is an equal opportunity employer. This application will no be used for limiting or excluding any applicant from consideration for employment on a basis prohibited by local, state, or federal law. Should an applicant need reasonable accommodation in the application process, he or she should contact a company representative.

Please fill out all of the sections below:

Application Information

Applicant Name:

Address:

City, State and Zip Code:

Telephone Number:

Email Address:

Date of Application:

Employment Position

Position(s) Applying for:

How did you hear about this position?:

On what date can you start working if you are hired?:

Personal Information

Do you have any friends, relatives, or acquaintances working for Parker Stockstill Construction, Inc.?

If yes, state name & relationship:

Are you 18 years of age or older?

Are you a U.S. citizen or approved to work in the United States?

What document can you provide as proof of citizen or legal status?

Will you consent to a mandatory controlled substance test?

Have you ever been convicted of a criminal offense (felony or misdemeanor)?

If yes, please state the nature of the crime(s), when and where convicted and disposition of the case:

job skills/qualifications

Please list below the skills and qualifications you possess for the position for which you are applying:

(Note: Parker Stockstill Construction, Inc. complies with the ADA and considers reasonable accommodation measures that may be necessary for eligible applicants/employees to perform essential functions. It is possible that a hire may be tested on skill/agility and may be subject to a medical examination conducted by a medical professional.)

Education and training

High School

Name:

Location (City, State)

Year Graduated

Degree Earned:

College/University

Name

Location (City, State)

Year Graduated

Degree Earned

Vocational School/Specialized Training

Name

Location (City, State)

Year Graduated

Degree Earned

Military

Are you a Member of the Armed Services?

What was your military rank when discharged?

How many years did you serve in the military?

What military skills do you possess that would be an asset for this position?

Previous employer

Employer Name

Job Title:

Supervisor Name:

Employer Address:

City, State, and Zip Code

Employer Telephone:

Dates Employed:

Reason for Leaving?

Employer Name:

Job Title:

Supervisor Name:

Employer Address:

City, State, and Zip Code

Employer Telephone:

Dates Employed:

Reason for Leaving:

references

Please provide 3 personal and professional reference(s) below:

References

1.) Name

Contact Information

2.) Name

Contact Information

3.) Name

Contact Information

At-will employment

The relationship between you and Parker Stockstill Construction, Inc. is referred to as "employment at will". This means that your employment can be terminated at any time, for any reason, with or without cause, with or without notice, by you or Parker Stockstill Construction, Inc. No representative of Parker Stockstill Construction, Inc. has authority to enter into any agreement contrary to the foregoing "employment at will" relationship. You understand that your employment is "at will", and that you acknowledge that no oral or written statements or representations regarding your employment can alter your at-will employment status, except for a written statement signed by you and either Executive Vice-President/Chief of Operations Officer or the Company's President.

Your completion of this digital application will constitute your guarantee that the above statements and information are accurate. After completing the CAPTCHA below, it will be considered your signature and agreement.

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