Howell Crane & Rigging, Inc. Application for Employment

HOWELL CRANE AND RIGGING, INC. APPLICATION FOR EMPLOYMENT
Prospective employees will recieve consideration without discrimination because of race, creed, color, sex, age, national origin, handicap or veteran status.

PERSONAL
Last Name First Middle	Date
Street Address	Home Telephone ( )
City, State, Zip	Business Telephone ( )
Have you ever applied for employment with us? __YES __NO If yes: Month and Year_________________ Location_______________________________	Social Security#
Position Desired	Pay Expected
Apart from absence for religious observance, are you available for full-time work? __YES __NO If not, what hours can you work?__________________________________________________	Will you work overtime if asked? __YES __NO
Are you legally eligible for employment in the United States?	When will you be available to begin work?
Other special training or skills (languages, machine operation, etc.)	TDL#
	Class
	DOB

EDUCATION
School	Name and Location of School	Course of Study	No. of Years Completed	Did You Graduate?	Degree or Diploma
Graduate	.	.	.	__YES __NO	.
College	.	.	.	__YES __NO	.
Business/Trade/ Technical	.	.	.	__YES __NO	.
High School	.	.	.	__YES __NO	.
Elementary	.	.	.	__YES __NO	.

1	EMPLOYMENT
	Please give accurate, complete full-time and part-time employment record. Start with your present or most recent employer.
	Company Name	Telephone ( )
	Address	Employed - (State month and year) From To
	Name of Supervisor	Weekly pay Start Last
	State Job Title and Describe Your Work _________________________________________	Reason for Leaving
2	Company Name	Telephone ( )
	Address	Employed - (State month and year) From To
	Name of Supervisor	Weekly pay Start Last
	State Job Title and Describe Your Work _________________________________________	Reason for Leaving
3	Company Name	Telephone ( )
	Address	Employed - (State month and year) From To
	Name of Supervisor	Weekly pay Start Last
	State Job Title and Describe Your Work _________________________________________	Reason for Leaving
4	Company Name	Telephone ( )
	Address	Employed - (State month and year) From To
	Name of Supervisor	Weekly pay Start Last
	State Job Title and Describe Your Work _________________________________________	Reason for Leaving

We may contact the employers listed above unless you indicate those you do not want us to contact.	DO NOT CONTACT
Employer Number(s)___________________________________________ Reason______________________________________________________ _______________________________________________

We may contact the employers listed above unless you indicate those you do not want us to contact.

DO NOT CONTACT

Employer Number(s)___________________________________________
Reason______________________________________________________

_______________________________________________

MILITARY

Did you serve in the U.S. Armed Forces? __YES __NO

If "YES" in what Branch?

Describe any training received relevant to the posistion for which you are applying.
____________________________________________________________________________

____________________________________________________________________________

The information requested is needed for a legally permissible reason, including, without limitation, national security considerations, a legitimate occupational qualification or business necessity. The Civil Rights Act of 1964 prohibits discrimination in employment because of race, color, religion, sex or national origin. Federal law also prohibits discrimination based on age, citizenship and disability. The laws of most States also prohibit some or all of the above types of discrimination as well as some additional types such as discrimination based upon ancestry, marital status and sexual preference.
Provide dates you attended school:	Elementary From To	Number of dependants, including yourself
High School From To	College From To	Are you a vietnam veteran? __YES __NO
Other (give name and dates)		Sex __MALE __FEMALE
Marital Status __Single __Engaged __Married __Separated __Divorced __Widowed		Date of Marriage
		Are you a U.S. Citizen? __YES __NO
What was you previous address?		How long at present address? ____________Years
		How long at previous address? ____________Years
		Are you over 18 years of age __YES __NO If not, employment is subject to verification of age.
Have you ever been convicted of a crime in the past ten years, excluding misdemeanors and summary offences, which has not been annulled, expunged or sealed by a court? __YES __NO If "YES", describe in full.
State names of relatives and friends working for us, other than your spouse.

SIGNATURE

This information provided in this Application for Employment is true, correct, and complete. If employed, any misstatement or omission of fact on this application may result in dismissal.
I understand that acceptance of an offer of employment does not create a contractual obligation upon the employer to continue to employ me in the future.
If you decide to engage an investigative consumer reporting agency to report on my credit and personal history I authorize you to do so. If a report is obtained you must provide , at my request, the name of the agency so I may obtain from them the nature and subtance of the information contained in the report
Date___________________ Signature__________________________________________________________

REFERENCE CHECK
Employer	Person Contacted	Results
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TEST RESULTS
Employer	Raw Score	Person Contacted	Analysis and Comments
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The information solicited from the applicant which lies outside the special section on page 3 is in compliance with all Federal and State equal employment laws and with the Fair Credit Reporting Act. We do not assume responsibility for the user's inclusion in this "Application for Employment" or any question which my violate Federal, State or local laws and users should consult their own counsel with respect to any legal questions concerning the use of this form.