Bob Bergkamp Const. Co. Inc.

Working at Bergkamp Construction

Quarries

04

BERGKAMP CAREERS

We are an Equal Opportunity Employer. Applicants are considered for positions without regard to race, color, religion, sex, national origin, age, physical or mental disability, genetic information, veteran or military status, or any other category protected by applicable federal, state or local laws.

PERSONAL INFORMATION

EMPLOYMENT DESIRED

High School

College or University

Graduate / Professional

Trade, Business or Correspondence School

EMPLOYMENT HISTORY

Include your last ten (10) years of employment history, including periods of unemployment, starting with the most recent and working backwards in time. Attach additional sheets if needed. You may include any verifiable work performed on a volunteer basis, internships or military service, if applicable to the job. Failure to completely respond to each inquiry may results in disqualification from consideration.

References

List the names and contact information of three work-related references we may contact. Individuals with no prior work history may list school or volunteer-related references.

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DRIVING INFORMATION

APPLICANT CERTIFICATION

Please read carefully before signing.

Bob Bergkamp Construction Co., Inc. is an equal opportunity employer. We do not discriminate in employment on account of race, color, religion, sex, national origin, age, physical or mental disability, genetic information, veteran or military status, or any other category protected by applicable federal, state or local laws.

Bob Bergkamp Construction Co., Inc. is an at-will employer, meaning the Company or I may terminate the employment relationship at any time, for any reason, with or without cause or notice. Nothing in this application or in any document or statement, written or oral, shall limit the right to terminate employment at-will. No officer, employee or representative of the Company is authorized to enter into an agreement – express or implied – with me or any applicant for employment for a specified period of time unless such agreement is in a written contract signed by the CEO. If hired, I agree to conform to the rules and regulations of the Company, and I understand that the Company has complete discretion to modify such rules and regulations at any time, except that it will not modify its policy of employment at will.

I understand and agree that if driving is a requirement of my job for which I am applying, my employment and/or continued employment is contingent on possessing a valid driver license for the state in which I reside and automobile liability insurance in an amount equal to the minimum required by the state where I reside.

I understand that the Company may now have, or may establish, a drug-free workplace or drug and/or alcohol testing program consistent with applicable federal, state and local law. If the Company has such a program and I am offered a conditional offer of employment, I understand that if a pre-employment drug and/or alcohol test is positive, the employment offer may be withdrawn. I agree to work under the conditions requiring a drug-free workplace, consistent with applicable federal, state and local law. I also understand that all screening or other medically recognized tests designed to detect the presence of alcohol or illegal or controlled drugs. If employed, I understand that the taking of alcohol and/or drug tests
is a condition of continual employment and I agree to undergo alcohol and drug testing consistent with the
Company’s policies and applicable federal, state and local law.

I understand and agree that as a condition of employment and to the extent permitted by federal, state and local law, I may be required to sign a confidentiality agreement, restrictive covenant, and/or conflict of interest statement.

If employed, I understand and agree that the Company, to the extent permitted by law, may exercise its
right without prior warning or notice, to conduct investigations of property (including by not limited to files, lockers, desks, vehicles, computers), and in some cases my personal property.

I authorize the Company or its agents to confirm all statement contained in this application and/or resume
as it related to the position I am seeking to the extent permitted by law. I agree to complete any requisite authorization forms for the background investigation that may occur.

I authorize and consent to, without reservation, any party or agency contacted by this employer to furnish the above-mentioned information. I hereby release, discharge, and hold harmless, to the extent permitted by law, any party delivering information to the Company or its duly authorized representative pursuant to
the authorization from any liability, claims, charges, or accuse of action which I may have as a result of the delivery or disclosure of the above requested information. I hereby release from liability the Company and its representative for seeking such information and all other persons, corporations, or organizations furnishing such information. Further, if hired, I authorized the Company to provide truthful information concerning my employment to future employers and hold the company harmless for providing such information.

I certify that I have given to Bob Bergkamp Construction Co., Inc. true and complete information on this application and any supporting documents that may be provided. I understand that any falsification, misrepresentation, or omission of any information may results in disqualification from consideration for employment. No requested information has been concealed. I authorize Bob Bergkamp Construction Co., Inc. to contact references provided for employment reference checks. If any information I have provided is untrue, or if I have concealed material information, I understand that this will constitute cause for the denial of employment or immediate dismissal.

*This application will be considered active for a maximum of 90 days. If you wish to be considered for employment after that time, you must reapply.
Your application was submitted successfully.

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