Personal Information

(* denotes a required field)

*Last Name:  , *First Name:  , Middle Initial:  

Email Address:  

*Date:  , *Home Phone:  , Cell Phone:  

*Street Address:  

*City, State, Zip:  

*Have you Ever applied for employment or been employed by Cranemasters?

 Yes No, if yes: Date:  , Location:Richmond, VATaney Town, MDHammond, IN

*Position Applying for:  

Full time or Part time?  Full Time Part Time
Desired Salary:  

Background Information

*Are you 18 years old or older?  Yes No

For Purposes of compliance with the Immigration Reform and Control Act, are you legally eligible for Employment in the United States? Under the Immigration Reform and Control Act, you will be required to fill out a certification verifying that you are eligible to be employed and verifying your identity. Further, you will be required to provide documentation to that effect should you be employed.
 Yes No

*Do any of your friends or relatives, other than spouse work here?  Yes No, if yes what is your relationship to them?
 

*Are you currently employed?  Yes No

*May we contact your present employer?  Yes No

*Are you currently on “lay-off” Status and subject to recall?  Yes No

*Are you available to work nights/weekends?  Yes No

*Can you travel if your job requires it?  Yes No

*Have you ever been convicted of a felony/misdemeanor?  Yes No A yes does not automatically disqualify you from employment. We will consider the nature and date of the offense and the job for which you are applying for job-related purposes only and only to the extent permitted by law. Please list felony/misdemeanor conviction type and date:

How did you learn about the job you are applying for? FriendNewspaperWebsiteJob PostingOther

Were you referred by a current employee?  Yes No, if yes, who referred you?  

Education

School

School:  , Course of Study:  , Years Completed:  , Diploma/Degree?  Yes No

High School

High School:  , Course of Study:  , Years Completed:  , Diploma/Degree?  Yes No

College

College:  , Course of Study:  , Years Completed:  , Diploma/Degree?  Yes No

Graduate Study

College:  , Course of Study:  , Years Completed:  , Diploma/Degree?  Yes No

Graduate Study

Other:  , Course of Study:  , Years Completed:  , Diploma/Degree?  Yes No

Additional Information

Please list special skills including heavy equipment operated. State any additional information you feel may be helpful to us in considering your application:

Work Experience

Start with your PRESENT or LAST job. Include any job-related military service assignments and volunteer activities. Exclude organizations which indicate race, color, religion, gender, national origin, disabilities or other protected status.

Employer:  , From:  , To:  

Address:  , City, State and Zip:  

Job Title:  , Salary:  

Supervisor:  , Reason for leaving:  

Phone Number:  , May we contact this employer?  Yes No

Please list work performed:

Employer:  , From:  , To:  

Address:  , City, State and Zip:  

Job Title:  , Salary:  

Supervisor:  , Reason for leaving:  

Phone Number:  , May we contact this employer?  Yes No

Please list work performed:

Employer:  , From:  , To:  

Address:  , City, State and Zip:  

Job Title:  , Salary:  

Supervisor:  , Reason for leaving:  

Phone Number:  , May we contact this employer?  Yes No

Please list work performed:

Personal / Professional References

Name:  , Phone:  
Best time to call:  , Occupation:  

Name:  , Phone:  
Best time to call:  , Occupation:  

Name:  , Phone:  
Best time to call:  , Occupation:  

Applicant’s Statement

I certify that answers given herein are true and complete. I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I hereby understand and acknowledge that, unless otherwise defined by applicable law, any employment relationship with this organization is of an ‘at will’ nature, which means that the Employee may resign at any time and the Employer may discharge Employee at any time with or without cause. it is further understood that this ‘at will’ employment relationship may not be changed by any written document or by conduct unless such change is specifically acknowledged in writing by an authorized executive of this organization. in the event of employment, I understand that fals or misleading information given in my application or interview(s) may result in discharge. I understand, also, that I am required to abide by all rules and regulations of the Employer. I agree to the above statement