Online Application

1General Information

2Education

3Personal Data

4U.S. Military Services

5Employment Record

6Personal References

7Agreement

Name*
First Middle Last
Present Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Are you at least 18 years old?*
- Yes
- No
Position(s) applying for*
- Other
Other
Employment desired*
- Full Time
- Part Time
- Temporary
- Seasonal
Please indicate the approximate monthly salary desired.*
Who referred you to the company?

Education*
Name of School Location Years Completed Major & Degree

List educational background in order of completion. High School, College, Other

Background - Convicted of Crime*
- Yes
- No
Have you ever been convicted of a crime, other than a minor traffic offense, for which the conviction or prison release (whichever is more recent) is within ten years of the date of this application?
If yes, please explain
Do you have a Driver’s license?*
- Yes
- No
Driver's License State of Issue*
Will Visa or immigration status prevent lawful employment?*
- Yes
- No
Answering yes to these questions does not constitute an automatic rejection for employment. Date of the offense and nature of violation will be considered.
Resume*
Drop files here or

Accepted file types: pdf, doc, docx, odf, txt, rtf, Max. file size: 2 MB, Max. files: 2.

U.S. Military Services
Have you ever been in the Armed Forces?*
- Yes
- No
Are you now a member of the National Guard?*
- Yes
- No
Specialty
Date Entered
Discharge Date
Discharge Status

Personal Reference #1
Please list three references other than relatives or previous employers.
Name*
First Last
Employer*
Position*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Personal Reference #2
Name*
First Last
Employer*
Position*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Personal Reference #3
Name*
First Last
Employer*
Position*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*

Agreement (please read carefully before signing)*
I have read and agree to the following
I certify that all the information on this application is accurate and complete to the best of my knowledge and understand that misleading or false statements will constitute sufficient cause for refusal of hire or termination of my employment.

I understand that neither the acceptance of this application nor the subsequent entry into any type of employment relationship with Axiom Construction creates an actual or implied contract of employment. I understand that, if I accept employment with Axiom Construction, it will be on an at-will basis. This means that either Axiom Construction or I have the right to terminate the employment relationship at any time, for any reason, with or without cause.

I agree to submit to drug and alcohol testing, if requested by Axiom Construction. I release Axiom Construction, and its employees, plus other persons or companies, from any and all liability arising out of or related in any way to such testing.

I authorize Axiom Construction to investigate information concerning my education, employment experiences and all other aspects of my background relevant to my proposed employment. I release Axiom Construction and its employees from all liability arising from such investigation.
Applicant Name & Digital Signature*
First Last
Date:*
Axiom Construction is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race, color, religion, sex, sexual orientation, national origin, age, disability or any other basis prohibited by federal, state or local law. We assure you that your opportunity for employment with Axiom Construction depends solely on your qualifications.

U.S. Military Services

Employment Record

Past Employment #2

Past Employment #3

Personal Reference #1

Personal Reference #2

Personal Reference #3

Name of School	Location	Years Completed	Major & Degree