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Employment Application

Bellamy Construction is an Equal Opportunity Employer, committed to fostering an inclusive and diverse workplace. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or any other protected status under applicable law.

JOB APPLICATION

First Name *

Last Name *

Social Security Number

Email

Home Phone *

Cell Phone *

Street Address *

City State Zip *

Position applying for? *

How did you hear of our opening? *

When can you start? *

Desired hourly wage or salary? *

Are you a U.S. citizen or otherwise authorized to work in the U.S. on an unrestricted basis? *

Yes

No

Are you looking for full-time employment? *

Yes

No

If no, what hours are you available?

Is applicant able to perform job related functions, which may include the following: Lifting, pulling, pushing items of weight greater than 75 pounds; climbing up and down stairs; and operating machinery? *

Yes

No

If no, please describe the circumstances: *

Do you have a valid driver license? *

Yes

No

Drivers License #

If no please describe the circumstances:

Do you have your own vehicle and tools? *

Yes

No

Please describe:

Have you ever been convicted of a felony? Conviction will not necessarily disqualify an applicant from employment *

Yes

No

If yes, please describe the circumstances:

Education

School Name, Location, Degree and Graduation Date.

Education

School Name, Location, Degree and Graduation Date.

Education

School Name, Location, Degree and Graduation Date.

Other

Include certifications, training etc.

In addition to your work history, are there are other skills, qualifications, or experience we should consider:

Employment History: (Start with most recent employer.)

Company Name

Address

City State Zip

Phone

Employment Date(s) Start m/d/yr thru End m/d/yr

Starting Position and Ending Position

Supervisor

Supervisor Contact Phone Number

May we contact?

Yes

No

Responsibilities

Reason for Leaving

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Employment History:

Company Name

Address

City State Zip

Phone

Employment Date(s) Start m/d/yr thru End m/d/yr

Starting Position and Ending Position

Supervisor

Supervisor Contact Phone Number

May we contact?

Yes

No

Responsibilities

Reason for Leaving

Section Buttons

Employment History:

Company Name

Address

City State Zip

Phone

Employment Date(s) Start m/d/yr thru End m/d/yr

Starting Position and Ending Position

Supervisor

Supervisor Contact Phone Number

May we contact?

Yes

No

Responsibilities

Reason for Leaving

Section Buttons

Please attach additional information and work experience if necessary:

I certify that the facts set forth in this application for employment are true and complete to the best of my knowledge. This company is hereby authorized to make any investigations of my prior educational and employment history as well as DMV records.

Signature

Date

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Bellamy Construction

6684 Amsterdam Road

Scotia, New York 12302

info@bellamys.com

All Photography & Video by K Shaw Media