Application Form If you are interested in working for James W. Fontenot Construction please fill out and submit the Application Form below. We will get back to you as soon as possible. Application Form Birth Date* Date* MM slash DD slash YYYY Last Name* First Name* Middle Name Address* Number & Street City State Zip Code Telephone*Cell Phone*Email Address* Are you 18 years of age or older?* Yes No If hired, can you provide evidence that you are authorized to work in the U.S.?* Yes No Education:Name & Location(High School ) Course of Study (High School ) # Years Completed(High School ) Degree/Diploma(High School) Name & Location(College ) Course of Study(College ) # Years Completed(College ) Degree/Diploma(College ) Name & Location(Technical or Other) Course of Study(Technical or Other) # Years Completed(Technical or Other) Degree/Diploma(Technical or Other) Employment Record:Company Name & Address(1) Kind of Work Date Started Date Left Rate of Pay Reason for Leaving Company Name & Address(2) Kind of Work Date Started Date Left Rate of Pay Reason for Leaving Company Name & Address(3) Kind of Work Date Started Date Left Rate of Pay Reason for Leaving Company Name & Address(4) Kind of Work Date Started Date Left Rate of Pay Reason for Leaving U.S. Military Service:Branch of Service From To Rank & Type of Service Training & Experience Received References:(Do Not Include Relatives)Name 1 Occupation Years Known Address Name 2 Occupation Years Known Address Name 3 Occupation Years Known Address Employment:Type of Work Desired Salary Desired How Were You Referred To Our Organization Do You Have Any Relatives Who Are Employed By This Organization* Yes No Please Specify: Please list any additional information that relates to your ability to perform the job for which you have applied such as licenses, professional memberships, hobbies, etc. Applicant’s Statement:I understand that the employer follows an “employment at will” policy, in that I or the employer may terminate my employment at any time, or for any reason consistent with applicable state or federal law; this “employment at will” policy cannot be changed verbally or in writing, unless the change is specifically authorized in writing by the chief operating officer of this organization. I understand that this application is not a contract of employment. I understand that federal law prohibits the employment of unauthorized aliens; all persons hired must submit satisfactory proof of employment authorization and identity; failure to submit such proof will result in denial of employment.I understand this application will be active for a period of one year; after that time, if I wish to be considered for employment, I must submit a new application. I understand that the employer will thoroughly investigate my work and personal history and verify all data given on this application, on related papers, and in interviews. I authorize all individuals, schools, and firms named therein, except my current employer if so noted, to provide any information requested about me, and I release them from all liability for damage in providing this information. I certify that all the statements herein are true and understand that any falsification or willful omission shall be sufficient cause for dismissal or refusal of employment.Do you agree to comply with the above statement?* Yes No CAPTCHA