Glidden Excavating & Paving, Inc. Online Employment Application

 

Employment Form

Please complete the form below. All items on the application forms must be filled out or marked "N/A'' meaning they do not apply to applicant. Failure to fully complete this form may result in automatic disqualification. Assistance is available upon request to help complete this application.

Enter your name.

Enter the date.

Enter your current address.

Enter your email.

Enter your phone number.

Enter the position you're applying for.

Enter rate of pay expected.

List highest grade completed

List last school attended


List additional experience

Maine driver's license no.

Yes
No

Moving Violations in last 3 years?

Explain moving violation.

Yes
No

Have you been convicted of crime?

Explain conviction.

Enter the name, phone and relationship of reference.

Enter the name, phone and relationship of reference.

Enter the name, phone and relationship of reference.



Work History

Enter the name, address and phone of most recent employer.


Date started.

Date left.

Salary upon leaving.

Starting position.


Reason for leaving.


Name and title of supervisor.


Description of duties and reason for leaving.



Enter the name, address and phone of previous employer.


Date started.

Date left.

Salary upon leaving.

Starting position.


Reason for leaving.


Name and title of supervisor.


Description of duties and reason for leaving.



Enter the name, address and phone of previous employer.


Date started.

Date left.

Salary upon leaving.

Starting position.


Reason for leaving.


Name and title of supervisor.


Description of duties and reason for leaving.



Release

In connection with submitting this form, my application for employment at Glidden Excavating & Paving Inc. I hereby authorize Glidden Excavating & Paving Inc. to contact all of my former employers, my present employer, and any scbool l attended. I consent to the release to Glidden Excavating & Paving Inc. of any information and records pertaining to my employment and education. I hereby release from liability all individuals and organizations who provide infomation to Glidden Excavating & Paving Inc. pursuant to this authorization. I also release from liability Glidden Excavating & Paving Inc. and its employees, officers, directors or agents for their acts in connection with the review and processing of my application for employment and for any acts undertaken pursuant to this authorization.

I understand this release.

I agree that a duplicate of this form will be as effective as the original I voluntarily furnish the information below.

Applicant's Name.


Yes
No

May we contact your present employer?