(specify)____________________________________________________________________________________
Employment History (most recent employment first)
Employer’s Position(s) Reason for
Dates Name and Address Supervisor Held Salary Leaving
1. $
to to
Your duties:
2. $
to to
Your duties:
3. $
to to
Your duties:
4. $
to to
Your duties:
U.S. Military Service
Branch ____________________________________________________________________________________
Highest Rank Achieved Dates of Service
_____________________________________________________ ______________ to ______________
Duties _____________________________________________________________________________________
___________________________________________________________________________________________
In Case of Emergency Notify:
Name _____________________________________________________________________________________
Telephone Number _________________________ Address ____________________________________
Relationship ________________________________________________________________________________
Other Experience or Qualifications (space can be used to elaborate on duties associated with positions listed above) ______________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Certification and Authorization --- Please read thoughtfully
I certify that all facts contained in the application are true and complete and acknowledge that Meridian Commercial Construction, LLC, is relying on the accuracy of the information provided. I
authorize Meridian Commercial Construction, LLC, to verify the accuracy of the information provided herein, and
I authorize former employers, educational institutions, and credit agencies to release information concerning me to Meridian Commercial Construction, LLC. I
also authorize Meridian Commercial Construction, LLC, to give references and provide information about me in response to inquiries subsequent to my employment if hired.
I understand that falsification, misrepresentation, or omission of requested facts may result in denial of employment, or, if employed, may result in immediate dismissal.
I understand and agree that, if hired, my employment will be for no definite period and may, regardless of the date of payment of wages, be terminated at any time without previous notice and with or without reason, at the will of either myself or Meridian Commercial Construction, LLC.
I also understand and agree that no one has authority to promise me job security or continued employment, except the President of the company in a formal written agreement signed by both of us.
____________________________________________________ ___________________________________
Signature of Applicant Date