Contact Us Get in Touch with Us V Concrete Construction, LLC 7540 N. 67th Ave.PO Box 445Glendale, AZ 85311Phone (623) 518-4797 Fax (623) 518-9582Your comments, questions, and feedback are welcome! APPLICATION FOR EMPLOYMENT 1 Applicant2 Availability3 Experience4 Education5 Verify6 References Date* Date Format: MM slash DD slash YYYY ATTENTION: (1) Must be at least 18 years old to apply. (2) All questions must be answered. (3) Inaccurate information stated on this application or other hiring forms will disqualify applicant for employment consideration. APPLICANT INFORMATIONName* First Last Address* Address City State ZIP Phone*Email Address* Position(s) Applying For*List any special Skills or Machinery you can operate AVAILABILITYREGULAR PART-TIME WORK?*YESNOREGULAR FULL-TIME WORK?*YESNOWHAT DAYS AND HOURS ARE YOU AVALIABLE FOR WORK?*IF HIRED ON, WHAT DATE CAN YOU START WORKING?* Date Format: MM slash DD slash YYYY CAN YOU WORK ON THE WEEKENDS?*YESNOCAN YOU WORK EVENINGS?*YESNOARE YOU AVAILABLE TO WORK OVERTIME?*YESNOSalary Desired: $* EXPERIENCE: LIST PREVIOUS EMPLOYERS, DATING BACK FIVE YEARS, STARTING WITH THE MOST RECENT ONE FIRST CompanyPhonePosition HeldStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY Rate of PayReason For LeavingIS IT OK TO CONTACT THIS EMPLOYER TO VERIFY EMPLOYMENT?YESNOCompanyPhonePosition HeldStart Date Date Format: MM slash DD slash YYYY End Date Date Format: MM slash DD slash YYYY Rate of PayReason For LeavingIS IT OK TO CONTACT THIS EMPLOYER TO VERIFY EMPLOYMENT?YESNO EDUCATION / TRAINING High SchoolSchool NameAddress School Address School City State ZIP Number of Years CompletedDid You Graduate?YESNODegree / Diploma EarnedCollege / UniversitySchool NameAddress School Address School City State ZIP Number of Years CompletedDid You Graduate?YESNODegree / Diploma EarnedVocation SchoolSchool NameAddress School Address School City State ZIP Number of Years CompletedDid You Graduate?YESNODegree / Diploma EarnedMilitaryBranchRanking In MilitaryTotal Years of ServiceSkills / DutiesRelated Details PERSONAL INFORMATION If hired, would you be able to present evidence of your U.S. Citizenship or proof of your legal right to work in the United States?*YESNOHave you ever worked for V Concrete Construction before?*YESNOIf YES, Explain and include datesIf hired, would you have transportation to/from work?*YESNOAre you over the age of 18? ( If under 18, hire is subject to verification of minimum legal age.)*YESNOAre you able to perform the essential functions of the job for which you are applying, either with/without reasonable accommodation?*YESNOIf NO, Describe the functions that cannot be performed:*Have you ever been convicted of a criminal offense ( Felony or Misdemeanor)*YESNOIf YES, Please describe the crime - state nature of the crime (s), when and where convicted and disposition of the case* REFERENCES List below two persons who have knowledge of your work performance within the last four years. Please include professional references only.NameTelephone NumberAddress Address City State ZIP OccupationNumber of Years AcquaintedNameTelephone NumberAddress Address City State ZIP OccupationNumber of Years AcquaintedPLEASE READ AND INITIAL EACH PARAGRAPH I CERTIFY THAT I HAVE NOT PURPOSELY WITHHELD ANY INFORMATION THAT MIGHT ADVERSELY AFFECT MY CHANCES FOR HIRING. I ATTEST TO THE FACT THAT THE ANSWERS GIVEN BY ME ARE TRUE & CORRECT TO THE BEST OF MY KNOWLEDGE AND ABILITY. I UNDERSTAND THAT ANY OMISSION (INCLUDING ANY MISSTATEMENT) OF MATERIAL FACT ON THIS APPLICATION OR ON ANY DOCUMENT USED TO SECURE EMPLOYMENT CAN BE GROUNDS FOR REJECTION OF APPLICATION OR, IF I AM EMPLOYED BY THE V CONCRETE CONSTRUCTION, LLC, TERMS FOR MY IMMEDIATE TERMINATION FROM THE COMPANY. I UNDERSTAND AND THAT IF I AM EMPLOYED, MY EMPLOYMENT IS NOT DEFINITE AND CAN BE TERMINATED AT ANY TIME EITHER WITH OR WITHOUT PRIOR NOTICE AND BY EITHER ME OR V CONCRETE CONSTRUCTION, LLC. I PERMIT V CONCRETE CONSTRUCTION, LLC TO EXAMINE MY REFERENCES, RECORDS OF EMPLOYMENT, EDUCATION RECORD, AND ANY OTHER INFORMATION I HAVE PROVIDED. I AUTHORIZE THE REFERENCES I HAVE LISTED TO DISCLOSE ANY INFORMATION RELATED TO MY WORK RECORD AND MY PROFESSIONAL EXPERIENCES WITH THEM, WITHOUT GIVING ME PRIOR NOTICE OF SUCH DISCLOSURE. IN ADDITION, I RELEASE V CONCRETE CONSTRUCTION, LLC., MY FORMER EMPLOYERS & ALL OTHER PERSONS, CORPORATIONS, PARTNERSHIPS & ASSOCIATIONS FROM ANY & ALL CLAIMS, DEMANDS OR LIABILITIES ARISING OUT OF OR IN ANY WAY RELATED TO SUCH EXAMINATION OR REVELATION.