Application for Employment | Capital Granite

Personal Info

Name

First MI Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Email

General Info

Position Applying For

Desired Salary

Availability (mm/dd/yyyy)

Current Employment

Currently Unemployed?

I am unemployed

May we contact your current employer?

Yes
No

Are you legally authorized to work within the U.S.?

Yes
No

Have you applied to Capital Granite before?

Yes
No

Referred by

Do you have relatives working at Capital Granite?

Yes
No

Are you able to perform the essential job functions of the position for which you are applying with or without reasonable accommodation?

Yes
No

Do you have valid MN drivers license?

Yes
No

If required, will you work:

Rotating Shifts
Saturdays
Overtime

Education & Training

High School

Last Grade Completed

College or Technical School

Year Completed

Relevant Experience

Special Skills

Special Training

Employment History (Starting with most recent)

Company Name

Company Address

Start Date

End Date

Position(s) Held

Salary

Reason for Leaving

Is this your current employer?

This is my current employer

May we contact this employer?

Yes
No

Company Name

Company Address

Start Date

End Date

Position(s) Held

Salary

Reason for Leaving

May we contact this employer?

Yes
No

Company Name

Company Address

Start Date

End Date

Position(s) Held

Salary

Reason for Leaving

May we contact this employer?

Yes
No

References

Name

Phone

Relationship

Name

Phone

Relationship

Name

Phone

Relationship

Resume

Authorization: "I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that any falsified statements or omission of information on this application may result in denial of employment or discharge. I authorize the references listed above to give you any and all information concerning my previous employment and any pertinent information they may have, personal or otherwise and release all parties from all liability for any damage that may result from furnishing same to you."

I have read and agree to the Authorization clause*

Yes, I agree to the Authorization clause