Application for Employment

We are pleased that you are seeking employment with Terry R. Lee Contracting Company, Inc. Applicants for employment are considered without regard to race, color, religion, sex, age, sexual orientation or national origin, or any factors prohibited by local, state or federal law. We are proud to be an Equal Opportunity Employer.
Applicants with disabilities may be entitled to reasonable accommodation under the ADA and related state laws. A reasonable accommodation is a change in the way things are normally done which will ensure an equal employment opportunity without imposing an undue hardship on the company. Please contact Tina
Thompson or Mindy Johnson at 843-784-5288 if you need assistance completing any forms or to otherwise participate in the application process.
This employment application does not create a contact or offer of employment. If hired, employment with the company will be on an at-will basis and can be terminated at the will of either you or the company.
Please be advised, this application for employment is only good for 30 days from the date received by the Company. Consideration for employment after 30 days requires submission of a new application. Incomplete applications may not be considered for employment. Please make sure you complete all areas.

Personal

Applicant Name

Nick Name

Street Address

City

State

Zip

Email Address

Phone Number

Please list all names you have used in the past

Have you ever been employed by our company?

If yes, Dates of Employment

How did you hear about our company and/or this job opening?

Have you ever applied for employment at our compnay?

If yes, Dates applied

Do you have any friends or relatives employed by this company?

If yes, please provide their names and relationship to you

Have you ever been convicted of a felony?

if yes, please provide the dates and explanation of the charges

*Please be aware that as part of the employment process, we do a full background check.

Employment Desired

Position Applied for

Date Available to begin work

Salary Desired ($/hour)

Are you interested in:

Temporary Work Full-Time Work Part-Time Work

Are you available to work on weekends?

Yes No

Overtime?

Yes No

Experience

List all present and past employment starting with your most recent employer (last five years is sufficient).
You must complete this section even if attaching a resume.

Employer #1

Employer Name

Phone Number

Type of Business

Your Supervisor's Name

Street Address

City

State

Zip

Dates of Employment - From:

Current Employer?

Yes No

May we contact this employer?

Yes No

Your position and duties

Your reason for leaving

Employer #2

Employer Name

Phone Number

Type of Business

Your Supervisor's Name

Street Address

City

State

Zip

Dates of Employment - From:

Current Employer?

Yes No

May we contact this employer?

Yes No

Your position and duties

Your reason for leaving

Employer #3

Employer Name

Phone Number

Type of Business

Your Supervisor's Name

Street Address

City

State

Zip

Dates of Employment - From:

Current Employer?

Yes No

May we contact this employer?

Yes No

Your position and duties

Your reason for leaving

References

Please list three (3) individuals who are not related to you who have knowledge of your work performance and work experience, preferably former supervisors

Reference #1

Reference Name

Phone Number

Company Name

Position

Reference #2

Reference Name

Phone Number

Company Name

Position

Reference #3

Reference Name

Phone Number

Company Name

Position

Skills and Qualifications

Do you have any licenses, skills, training and/or awards that are relevant to the job for which you are applying?

Do you speak, write or understand any foreign languages?

Yes No

If yes, please describe which language(s) and how fluent of a speaker you consider yourself to be

Can you perform the essential functions of the job for which you are applying, either with or without reasonable accommodations?

Yes No

If no, please describe the functions that cannot be performed

(Noe: We comply with the ADA and consider reasonable accommodations measures that may be necessary for eligible applicants/employees to perform essential functions. Hire may be subject to passing a medical examination, and to skill and agility tests.)

Can you meet the attendance requirements of this job? (Monday-Friday 7:00am to 5:00pm, some weekends)

Yes No

Applicant's Certification and Signature

Please read carefully, check each paragraph and sign at the bottom of the page:

I understand that, if hired, I will be required to provide my legal authorization to work in the United States. (Either passport or Driver's License or State ID with a photo and a social security card. We do use the Federal E-Verify system to verify all employees for eligibility.

I certify that I have not knowingly withheld any information that might adversely affect my chances for employment and that the information provided by me on this application is true and correct to the best of my knowledge. I further certify that I, the undersigned applicant have personally completed this application. I understand that any omission or misstatement of material facts on this application or on any document used to secure employment shall be grounds for rejection of this application or for immediate discharge if I am employed, regardless of the time elapsed before discovery.

I authorize the Company to thoroughly investigate my references, work records, education and other matters related to my suitability for employment. I further authorize all references that I have listed to disclose to the Company all letters, reports or other information related to my work records, without giving me prior notice of such disclosure. In addition, I release the Company, my former employers and other persons, corporations, partnerships and associations from any and all claims, demands or liabilities arising out of or in any way related to such investigation or disclosure.

I understand that nothing contained in this application, or conveyed during any interview which may be granted, or during my employment, if hired, is intended to create an Employment Contract between the Company and me. In addition, I understand and agree that if I am employed, my employment is at will and is for not definite or determinable period and may be terminated at any time, with or without prior notice, or with or without cause, at the option of either myself or the Company, and that no promises or representations contrary to the foregoing are binding on the Company unless made in writing and signed by me and the Company's designated representative.

I understand that, in connection with my application for employment, the Company may obtain a consumer report and/or investigate consumer reports about me that may contain information as to my character, general reputation, personal characteristics, and mode of living. Such reports may include or consist of my driving history obtained from the Department of Motor Vehicles. I further understand that any job offer extended by the Company is contingent upon receipt of a favorable consumer or investigative consumer report about me.

I understand that in connection with my application for employment, depending upon the positon for which I have applied, any offer of employment is conditioned upon my taking and passing a postoffer/ pre-employment drug test, and if necessary for the positon for which I have applied, a postoffer/ pre-employment medical examination. I understand that I may refuse to take any required preemployment drug test and/or medical examination, but that if I do, any offer of employment will be immediately withdrawn.

I HAVE READ THE ABOVE PARAGRAPHS, UNDERSTAND THEIR IMPORTANCE AND EFFECT UPON MY EMPLOYMENT, AND ACCEPT SAME AS CONDITIONS OF MY EMPLOYMENT WITH THE COMPANY.

This application, when completed and signed, becomes the property of the Company.

Applicant's Signature

Date

Print Name