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Employment Application
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YOUR PERSONAL INFORMATION
Your Name
First
Middle
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Your Phone
Email
List State and Countries of Residence For The Past Seven Years.
Have you ever used any other name(s)?
Yes
No
If yes please list name(s).
Are you legally authorized to work in the U.S.?
Any offer of employment is contingent upon completing form I-9 and providing documents establishing identity and work authorization.
Yes
No
Position You're Applying For
Machine Operator
Sitework General Labor
Framer
Survey Technician
Project Manager
Other
Availability
Full Time
Part Time
Indicate Days and Hours You Are Available
Please tell us what hours you are available for work each day of the week.
Monday
Tuesday
Wednesday
Thursday
Friday
Add
Remove
Have you previously applied for employment with Eastland Partners Inc., Nitro Drilling and Blasting LLC, or and Eastland Partners subsidiary?
Yes
No
If YES, when and where?
Are you related to an employee at Eastland Partners or any Eastland Partners subsidiary?
Yes
No
If YES please provide name and relationship.
Do you have any conditions that would impact your ability to perform the required duties in the position that you are applying for?
Yes
No
If YES please explain.
Pay Expected(minimum per hour)
Are you 18 years of age or older?
Yes
No
EDUCATION
School Information
Use the plus sign to add another school.
Name Of School
Graduated? (Y/N)
Major
Minor
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Remove
EMPLOYMENT HISTORY
List all present and past employment beginning with your most resent employer.
Company Name
Address
Telephone Number
Immediate Supervisor
Job Title or Position
Dates Employed
From Month/Year to Month/Year
Starting Wage/Salary
Present/Final Wage/Salary
If Still Employed, May We Contact Your Present Supervisor?
Yes
No
Reason(s) For Leaving
Describe Your Duties and Responsibilities.
MILITARY HISTORY
Military Service Status
Non-Veteran
Veteran
Reserves
National Guard
Branch of Service
Active or Inactive
Active
Inactive
We do not discriminate on the basis of National Guard or Reserve Unit duty obligations.
PROFESSIONAL REFERENCES
Name
Address
Telephone
Occupation
Name
Address
Telephone
Occupation
Upload Your Resume
Upload your resume in .pdf, .doc or .docx format
Accepted file types: pdf, doc, docx, Max. file size: 25 MB.
Terms and Conditions
(Required)
By signing below, I affirm that I have read and understand this application and that the statements I have made are true. I understand that any omission or misrepresentation of information will result in termination of my employment.
I authorize verification and investigation of the statements made on this application and employment history
Also, I understand that this application or any policy/guide/handbook distributed to me during the course of my employment does not constitute a contract of employment and if employed I will be an employee "At Will". If I am employed by the company, my employment may be terminated at any time for any reason or without prior notice. If hired, I will adhere to all company policies and acknowledge that such policies may be amended, changed, terminated or added with or without notice.
I also agree that if this organization deems necessary, I may be required to work overtime hours or hours outside a normally defined workday or workweek.
It is unlawful in Massachusetts to require a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
Eastland Partners Inc., and Nitro Drilling and Blasting LLC are equal opportunity employers. All
qualified candidates will receive consideration for employment with regards to race, color, religion, sex, sexual orientation, national origin, age, disability, handicap or veteran status. Any offers of employment are contingent upon furnishing satisfactory evidence of identity and legal authority to work in the United Stated. If you have a criminal record that has been sealed, you are entitled to answer that you have no criminal record.
Please Note: Any reference to Eastland Partners Inc, or Nitro Drilling and Blasting LLC throughout this document include any and all of Eastland Partners, Inc subsidiaries.
I agree to the terms and conditions.
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