Employment

First Name:

MI:

Last Name:

Address:

Apt/Suite:

City:

State:

Zip Code:

Country:

Home Phone:

Cell Phone:

Email:

Confirm Email:

Marital Status:

# of Children:

Date of Birth:

# Years/Months at Current Address:

Previous Address if less than 5 years:

Apt/Suite:

City:

State:

Zip Code:

Country:

High School:

Graduation Date:

Other Education:

Employer:

Dates:

Phone:

Wage:

Job Description:

Employer:

Dates:

Phone:

Wage:

Job Description:

Employer:

Dates:

Phone:

Wage:

Job Description:

List 3 References:
(give name, address, phone #, relationship i.e., Personal, Work, etc.)

Would you submit to a random drug test?

Yes No

What is your reason for seeking employment with Swafford Construction?

How can YOU improve the company?

I confirm that all information provided on this application is accurate and current:

I Agree I Disagree