Online Application



PERSONAL INFORMATION


IDENTIFICATION VERIFICATION

In compliance with Federal Law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification document forms upon hire. Coffman and Laub Construction, Inc., will E-Verify all hired candidates within 3 days of hire.


SKILL SETS

ESTIMATE THE NUMBER OF HOURS YOU HAVE OPERATED OR WORKED IN THE FOLLOWING BELOW CATEGORIES:


EDUCATION


WORK EXPERIENCE

Please list employment for the past 5 years.

Your Most Recent Employer Information:


CERTIFICATION AND RELEASE:

I certify all statements, information and documents provided with this application are true, complete and correct to the best of my knowledge and are made in good faith. I understand that omissions, misleading, false or untrue information, or any attempt at fraud or deceit in any manner connected with this application and subsequent testing may result in my NOT being considered for jobs with Coffman and Laub Construction, Inc., and may constitute grounds for discipline and/or termination after hire; and/or may constitute grounds for further actions pursuant to law. If requested, I can and will supply documentation that will confirm that the entries made on this application are true, complete and correct.
I authorize Coffman and Laub Construction, Inc., and/or its agents including consumer reporting bureaus to verify any of this information including, but not limited to, criminal history and motor vehicle driving records. I authorize all persons, schools, companies and law enforcement authorities to release any information concerning my background and hereby release any said persons, schools, companies and law enforcement authorities from any liability for any damage whatsoever for issuing this information.
I recognize Coffman and Laub Construction, Inc., requires post offer pre-employment drug testing, physical screening and lift evaluation (with reasonable accommodations) to determine my ability to perform the required functions of the job. I acknowledge Coffman and Laub Construction, Inc., has a legitimate business reason to require testing of applicants as part of their hiring process.
I specifically consent to such controlled substance and physical tests as Coffman and Laub Construction, Inc., may deem advisable in connection with the hiring process and authorize the release of all test results to Coffman and Laub Construction, Inc. I acknowledge I will be responsible for paying the cost associated with the drug testing. Payment for drug testing will be due at the time testing is being conducted and payable to the facility conducting the test. I agree to have the pre-employment testing performed at the facility designated by Coffman and Laub Construction, Inc. Information regarding location for this facility and time of my appointment will be provided should I be offered employment.
I acknowledge failure to achieve affirmative results of these evaluations and tests, in Coffman and Laub Construction, Inc., sole opinion, shall be reasonable grounds for denying or terminating your employment. In the event you cannot meet the performance evaluation requirements for the position applied for, you may reapply for another position within the Company; however, the Company is in no way obligated to retain you for such other position.
I understand Coffman and Laub Construction, Inc., has in effect a Drug-Free Workplace Policy. Upon request, a copy is available to me prior to accepting employment. I understand, in the event I am hired, I will be required to sign and abide by the Drug-Free Workplace Policy as a condition of my employment.
I understand that if I am hired, I will enter into an employment relationship with Coffman and Laub Construction, Inc. (CRI) voluntarily, and acknowledge that there is no specified length of employment. This document does not constitute a contract of employment, either expressed or implied.