Apply Now Employment Application PDF Version Word Version DeLong Construction Inc, is an equal opportunity employer. Minorities and females are encouraged to apply. Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Job Applied For *Address *City *State *ZIp *Telephone number where you can be contacted *Are you at least 18 years of age? *YesNoWhat is your military status?Are you prevented from becoming employed because of visa or immigration status?YesNo(If NO, be prepared to provide proof of citizenship or legal residence and work permit to interviewer)Will you be able to perform the essential functions of the position for which you have applied?YesNoIf NO, what accommodation to this condition would make it possible for you to do this job?Do you speak, read or write fluently a language other than English?YesNoIf YES, describe ability and list language(s)On what date would you be available for work?Are you available to workFull-TimePart-TimeShiftTemporaryAre you on a lay-off and subject to re-call?YesNoCan you travel if a job requires it?YesNoIf the position you are applying for involves the driving of a vehicle or equipment which requires a license, do you have a valid license?YesNoIf YES, please specify the type of licenseOperators LicenseCommercial Drivers License Class ACommercial Drivers License Class BLicense NumberExpiration DateHave you had a motor vehicle accident or a moving violation in the past 3 years?YesNoIf YES, please explainWhat types and makes/models of construction equipment can you operate or repair?List any craft training programs in which you have participatedPrevious EmploymentDates, Employer, Address, Job Held/Duties, Wage, Reason for LeavingPrevious Employment Dates, Employer, Address, Job Held/Duties, Wage, Reason for LeavingPrevious EmploymentDates, Employer, Address, Job Held/Duties, Wage, Reason for LeavingSummarize special skills and qualifications acquired from employment or other experienceDo you have your own craft tools, clothing and other equipment?YesNoWould you accept employmentOut of town?Statewide?Unaccompanied By Family?Have you attended High School, Vocation/Technical School or College?YesNoIf YES, please specifyEmergency Contact NameEmergency Contact AddressEmergency Contact Area code/phone #“I certify that the facts contained in this application are true and complete to the best of my knowledge and understand that, if employed, falsified statements on this application shall be grounds for dismissal, and I agree to hold my employer harmless in the event of my dismissal based thereon. I authorize investigation of all statements contained herein and to do background checks to give you and all information concerning my previous employment and any pertinent information they may have, confidential or otherwise, and release all parties from all liability for any damage that may result from furnishing same to you. I realize that under certain provisions of Iowa law, pre-employment drug testing could be a condition of my employment. I also acknowledge that the employer may require drug testing at a subsequent time providing that proper advance notice of testing is provided. I also recognize that I could be offered employment subject to appropriate medical examination and that such a report could nullify my ultimate employment by this employer. I agree to submit to physical examination if required. I understand and agree that, if hired, my employment is for no definite period and may, regardless of the method of payment of my wages and salary, be terminated at any time without prior notice. If employment is obtained under this application, I will comply with all the rules and policies of my employer.”DateSubmit
