Employment Application

Today's Date *

Name *

Street Address *
Apartment #
City *
State *
Zip *
Email *
Home Phone *
Cell Phone
Do you have a valid drivers license? *
Are you at least 18 years of age? *
Are you legally authorized to work in the US? *
Are you presently employed? *
Can you travel if a job requires it? *
Do you have transportation to and from work?*

Have you ever been convicted of a criminal offense in the last seven (7) years? Have you ever plead guilty or "no contest" to, or been convicted of a crime other than a minor violation in the last seven (7) years?*

If "YES", please explain below. An answer of "yes" will not automatically disqualify you from consideration; however, falsification of information will jeopardize any offer of employment. Details of the charge, disposition, etc;

Date available to start work? *

SCDMV driving record request:

Please fill out this form to request your SCDMV driving records. Once you have signed It can be faxed to Cape Romain Contractors at 843-884-0516 or if you are able to scan it can be uploaded below.

Select A File To Upload:

Education

High School

High School Name *
State *
City *
Years Attended *

College

College Name
State
City
Years Attended
Degree Attained

Trade/Business School

School Name
State
City
Years Attended
Degree Attained

Employment History

Company Name *

Address *
City *
State

Employment Dates *

From: *
To: *
Salary/Pay *
Rate *
Position *
Supervisor's name *

Major responsibilities/skills/equipment used *

Reason for leaving *
Phone *

May we contact this employer? *

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Company Name *

Address *
City *
State

Employment Dates *

From: *
To: *
Salary/Pay *
Rate *
Position *
Supervisor's name *

Major responsibilities/skills/equipment used *

Reason for leaving *
Phone *

May we contact this employer? *

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Company Name *

Address *
City *
State

Employment Dates *

From: *
To: *
Salary/Pay *
Rate *
Position *
Supervisor's name *

Major responsibilities/skills/equipment used *

Reason for leaving *
Phone *

May we contact this employer? *

References

Please provide three people, not related to you, who have known you for at least one year.

Reference #1 Name

Reference phone
Relationship
How long have you known this person?

Reference #2 Name

Reference phone
Relationship
How long have you known this person?

Reference #3 Name

Reference phone
Relationship
How long have you known this person?

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How did you hear about us

If other, please specify

Do you have any relatives working for Cape Romain Contractors? If yes, who?

Have you ever been employed by Cape Romain Contractors? If yes, when?

Wage desired

Additional Information

Please inform us of anything you think may qualify you for a position with Cape Romain Contractors, Inc.

Certify Your Answers*

Cape Romain is an at-will, equal opportunity employer. It is the policy of this Company to assure that applicants and employees, both before and during employment, are treated without regard to their race, religion, sex, color, national origin, age, veteran status or disability. Such action shall include: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or other forms of compensation; and selection for training, including apprenticeship, pre-apprenticeship, and/or on-the-job training.

I certify that the facts contained in this application are complete and true to the best of my knowledge, and understand that false statements may affect my eligibility for hire, or if employed, falsified statements may be grounds for termination. I understand that should I be considered for hire, additional testing or screening may be part of this process. Failure to pass any verification, such as references, drug/alcohol screening, criminal background check, etc. will result in my offer of employment being rescinded. I further understand that should I fail to pass all or some of the screening, I may not be considered for employment opportunities in the future with Cape Romain Contractors, Inc.

Authorization*

I consent and authorize Cape Romain Contractors, Inc. to conduct a pre-employment background search on me. You are hereby authorized and requested to reveal and to discuss with Cape Romain Contractors, Inc. any and all information you have concerning my employment history, credit history, criminal history, academic history, driving record, personal habits, general demeanor, or any other information deemed pertinent to my background.

I understand that the information you may release is personal and confidential so, I release you, the persons, individuals, companies, corporations and entities from any liability for obtaining and providing any and all such information for the purpose of preparing this personal and/or employment background evaluation only.

I hereby waive any and all claims for damage or injury as a result of obtaining and providing this information as to Cape Romain Contractors, Inc. I further agree to indemnify and hold harmless Cape Romain Contractors, Inc. and the individual and companies releasing this information for any and all claims, costs, damages, or injury, which may occur as a result of obtaining and providing such personal and confidential information. This authorization is to remain in effect during my entire employment if selected for employment.

I have read the foregoing and agree to be bound by the terms of this authorization and release.

Full Legal Name:
Other Names Used:
Social Security Number:
Date Of Birth (for identification purposes only)

Gender:

Position Applying For

Driver's Licence #

Divers License State

Cell Phone

I have read this Authorization and Consent for Release of information and fully understand the terms of this release:*

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**THIS PART OF THE FORM IS VOLUNTARY**
The employer is subject to certain governmental recordkeeping and reporting requirements for the administration of civil rights laws and regulations. In order to comply with these laws, the employer invites candidates for employment to voluntarily self-identify their race or ethnicity. Submission of this information is voluntary and refusal to provide it will not subject you to any adverse treatment. The information obtained will be kept confidential and may only be used in accordance with the provisions of applicable laws, executive orders and regulations included those that require the information to be summarized and reported to the federal government for civil rights enforcement. When reported, date will not identify any specific individual.

The Federal Highway Administration (FHWA) requires the following information to be collected for statistical reporting of applicants as a part of the Affirmative Action Program requirements (FHWA-1273). This information is not used in the employment process nor releases in a manner that identifies the individual. This form will not be considered during the application process.

Gender
Race
Date Of Birth
Position Applying For

This organization participates in E-verify.

This employer will provide the Social Security Administration (SSA) and, if necessary, the Department of Homeland Security (DHS), with information from each new employee’s Form I-9 to confirm work authorization.

IMPORTANT: If the Government cannot confirm that you are authorized to work, this employer is required to provide you written instructions and an opportunity to contact SSA and/or DHS before taking adverse action against you, including terminating your employment.

Employers may not use E-Verify to pre-screen job applicants or to re-verify current employees and may not limit or influence the choice of documents presented for use on the Form I-9. In order to determine whether Form I-9 documentation is valid, this employer uses E-Verify’s photo screening tool to match the photograph appearing on some permanent resident and employment authorization cards with the official U.S. Citizenship and Immigration Services’(USCIS) photograph.

If you believe that your employer has violated its responsibilities under this program or has discriminated against you during the verification process based upon your national origin or citizenship status, please call the Office of Special Counsel at 1-800-255-7688 (TDD: 1-800-237-2515).

NOTICE: Federal law requires all employers to verify the identity and employment eligibility of all persons hired to work in the United States.

If you have the right to work, don't let anyone take it away.

If you have the legal right to work in the United States, there are laws to protect you against discrimination in the workplace.

You should know that-

  • In most cases, employers cannot deny you a job or fire you because of your national origin or citizenship status or refuse to accept your legally acceptable documents.
  • Employers cannot reject documents because they have a future expiration date.
  • Employers cannot terminate you because of E-Verify without giving an opportunity to resolve the problem

If any of these things have happened to you, contact the Office of Special Counsel (OSC). For assistance in your own language: Phone 800-255-7688 or (202) 616-5594. For the hearing impaired TTY 800-237-2515 or (202) 616-5525. Email: osccrt@usdoj.gov or write to:
U.S. Department of Justice - CRT