Employment Opportunities

Have you worked for Aden Masonry Inc. before?* Yes No

If yes, when?

Start Date:

End Date:

Union Member?* Yes No

If Yes, where?

Have you ever been convicted of a crime, excluding minor traffic violations?* Yes No

If yes, please explain below when, where, and the nature of the offense.

Previous Employer #1

Employer Name

Phone

Address

Supervisor's Name

Job Title and Responsibilities

Start Date:

End Date:

Weekly Pay

Reason for Leaving

Previous Employer #2

Employer Name

Phone

Address

Supervisor's Name

Job Title and Responsibilities

Start Date:

End Date:

Weekly Pay

Reason for Leaving

Previous Employer #3

Employer Name

Phone

Address

Supervisor's Name

Job Title and Responsibilities

Start Date:

End Date:

Weekly Pay

Reason for Leaving

Experience

Journeyman?* Yes No

Apprentice?* Yes No

Improver?* Yes No

Brick Layer?* Yes No

Stonesetter?* Yes No

Brick Layer?* Yes No

Block Layer?* Yes No

Mason Tender?* Yes No

Fork Lift?* Yes No

Erect Scaffolding?* Yes No

Hydrolic?* Yes No

Frame?* Yes No

Mix Mud?* Yes No

Tend Bricks?* Yes No

Reference #1

Name

Position

Company

Address

Phone Number

Reference #2

Name

Position

Company

Address

Phone Number

I authorize investigation of all statements contained in this Application for Employment. I understand that misrepresentation or omission of facts called for herein will be sufficient cause for cancellation of consideration for employment or dismissal from the Company's service if I have been employed. I hereby agree that this company and my previous employers shall not be held liable in any respect if an employment offer is not tendered or is withdrawn or if my employment is terminated because one or more statements and/or answers contained in this application are false. If I am employed, I understand that additional personal data will be required for determination of benefit eligibility and for statistical purposes. I hereby authorize Aden Masonry Inc., to contact any employer listed above for reference information and for information regarding my employment with such employer. I further agree to hold Aden Masonry Inc.. and/or any such employer harmless from any liability in connection with such inquiries and/or the furnishing of any such information.

THIS APPLICATION WILL BE HELD ACTIVE FOR SIXTY (60) CALENDAR DAYS. IF YOU ARE NOT CALLED WITHIN SIXTY (60) DAYS AND WISH TO REAPPLY, YOU MAY DO SO BY FILING A NEW APPLICATION.

BY SUBMITTING THIS APPLICATION I HEREBY ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE PARAGRAPHS.