Field Employment Application

There is a place to upload your cover letter and resume at the end of the application.

Today's Date*

Position Applied For:*

Prospective applicants will receive consideration without discrimination because of race, color, religion, sex, national origin, age, marital or veteran status, non job-related medical conditions or handicaps, or any other legally protected status. We are an Equal Opportunity Employer.

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Social Security #*

To assist us in processing your application, please list any other names (first or last) by which your former employers or schools may have known you.

How did you hear about this position? (If a newspaper, indicated which one.)*

Date available to start work?*

Hourly wage required? (Please provide us with a specific wage range.)*

How many jobs have you had in the last 5 years?*

Are you willing to take a drug test?*

Yes
No

Have you ever been fired from another job?*

Yes
No

If Yes, For what reason? Please provide explanation

Are you over 18 years of age?*

Yes
No

If no, can you furnish a work permit?

Yes
No

Are you legally entitled to work in the United States?*

Yes
No

Are you on lay-off and subject to recall?*

yes
No

Have you ever applied work here before*

Yes
No

Why do you want this job?*

Do you have a valid drivers license?**

Yes
No

Do you have a valid commercial drivers license?*

Yes
No

IF Yes:

Can you drive a vehicle with a manual transmission (stick-shift)?*

Yes
No

Have you ever had any DUI offenses?*

Yes
No

Describe any driving offenses you have had in the last 15 years.

Can you use your personal vehicle to perform errands for ICLC if compensated at 56 cents per mile (2021) and paid your hourly wage?**

Yes
No

Can you read construction plans/blue prints?*

Yes
No

Do you have any supervisory experience?*

Yes
No

If Yes, Describe

Are you available to work Saturdays and overtime?

Yes
No

Can you stand and work for long periods of time and lift 85 pounds?

Yes
No

Number of months experience in retaining walls and paving stones?

Give detail of skill level:

Number of months experience in concrete construction?

Give detail of skill level:

Number of months experience in carpentry?

Give detail of skill level:

Number of months experience in Plumbing?

Describe your level of skill fixing and maintaining equipment and small engines

Have you ever been convicted of a felony or misdemeanor which has not been sealed or expunged from your record? (Applicants with sealed records on file with the Commissioner of Probation may answer "No Record" in all cases of delinquency or as a child in need of services which did not result in a complaint being transferred to the Superior Court for criminal prosecution.)**

Yes
No

If yes, give details:

(A conviction record will not necessarily be a bar to employment. Factors such as age and time of the offense, seriousness and nature of the offense and rehabilitation will be taken into account.)

Employment History

Employment History List below present and past employment (Full time, part time, and self employment) beginning with your most recent position.

Employer 1

Company Name*

Company Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Supervisor Name*

First Last

Your Job Duties*

Dates Employed*

(From - To)

Wage or Salary*

Reason for leaving: Resigned, Laid Off, Discharged, Other Explain the reason/circumstances for changing or wanting to change jobs.*

Were you ever disciplined, warned, or counseled about job performance, absenteeism, tardiness, or policy violations.

Yes
No

If Yes, explain.

If still employed, may we contact your employer?*

Yes
No

Education

Education Level*

Highschool
College
Graduate School
Doctor

Did You Graduate Highschool?*

Yes
No

Did You Graduate College?*

Yes
No

Did You Graduate Grad School?*

Yes
No

List any other schooling or training, including training received in the armed forces that may be related to the type of position you are seeking:*

List any honors or professional, trade, business, or civic activities held:*

If you are a veteran of the U.S. Military, what was your highest rank and what branch of the military did you serve?

Do you speak a foreign language?*

Yes
No

If Yes, Supply ability level:

References

Business/Education Reference

Name*

First Last

Title*

How long known?*

Your association with the person:*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

References

Personal Reference

Name*

First Last

How long known?*

Your association with the person:*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Consent*

By checking the box below I agree with the agreement.

CERTIFICATION, AUTHORIZATION, AND AGREEMENT PLEASE READ CAREFULLY

I certify that the information given on this application and in my resume is true and complete and authorize the Company to investigate the truth of this information and of any other information I may supply during a pre-employment interview. I authorize and request every school, employer, person, and agency identified by me on this form or in my resume or during any pre-employment interview to release any and all verifying information the Company may solicit from any of them and to secure additional information about me, if job related. I hereby release them, as well as the Company, from any liability for requesting this information and for any statement they make responding to this request. I understand and agree that false or misleading information will disqualify me from employment or, if I have been hired, will result in my discharge.

I understand and agree that any offer of employment the Company may make to me (and if I am hired, my continued employment) will be contingent upon my submission of evidence verifying that I am authorized to work in the United States and upon my written consent to investigations of my criminal records, if any, and to investigations of information maintained by consumer reporting agencies, except as prohibited by law.

I understand and agree that, if I am hired:

I will be required to comply with the Company drug and alcohol policy, including consent to drug and alcohol testing under certain conditions
The Company reserves the right to inspect all property (including cars, purses, lockers, desks, lunch boxes, packages and other containers) on the Company's premises and to cooperate with such inspections as a condition of continued employment.
I may not hold other employment without informing the Company management, nor engage in sales, investments or other activities that create a conflict of interest with my position with the Company including "working on the side".

I will (A) hold all confidential information, trade secrets and materials or records of a proprietary nature (such as the chop saw miter box, the bid template, the Company contract, all Company computer files, etc) of the company which are not generally known to the public (the "confidential Information") that I may learn and use during my employment with the Company in strictest confidence and not use or disclose the confidential information both during and following my termination of employment, (B) take all actions as the Company may reasonably request to safeguard the Confidential information and protect it from disclosure, misuse, loss or theft, and (C) return to the Company upon termination of my employment, all materials relating to the Company (including the confidential information) in my possession or control.

I will not, without the prior written consent of the company, accept any discounts, premiums, gifts, services, favors or any other forms of consideration from any supplier or organization with whom or with which the Company has or may have any business dealings and if any such discounts, premiums, gifts, services, favors or other forms of consideration are accepted by me, I shall immediately report and turn over such to the Company.
Any and all statutory or common law disputes, claims or controversies, including interpretation of the terms and conditions of this paragraph (the "Grievance") (excluding those under worker's compensation, unemployment compensation or employee benefit plans covered by the Employee Retirement Income Security Act of 1967 "ERISA" by myself against the Company made or which arise both during and following my voluntary or involuntary termination of employment shall be subject to final and binding arbitration in accordance with the Federal Arbitration Act, or, where applicable, the Pennsylvania Arbitration Act or the American Arbitration Association and shall be governed by and construed in accordance with the laws of the Commonwealth of Pennsylvania. Judgment may be entered on the arbitration award in any court having jurisdiction over the party against whom the award is rendered and shall be a complete defense to any suit, action or proceeding instituted in any federal, state or local court.
ARBITRATION SHALL BE MY SOLE AND EXCLUSIVE REMEDY TO REDRESS ANY GRIEVANCE AND MY RIGHT TO ASSERT A GRIEVANCE AGAINST THE COMPANY WILL BE LOST IF AN ARBITRATION DEMAND IS NOT MADE WITH THE COMPANY'S LEGAL DEPARTMENT WITHIN 180 DAYS OF THE DATE THAT THE GRIEVANCE OCCURRED

The Company may, at any time, make unilateral changes in any of its policies, practices, rules, procedures, compensation and benefits provided employees.
My employment will not be for any specified term or duration or pursuant to any contract of employment and is subject to termination at any time, without advance notice, for any reason not prohibited by law.
No representative of the Company is authorized to change any of the terms and conditions mentioned in this application.

Isbir Construction and Landscape Corp (ICLC) is an Employment At Will company. As such you have the right to end your employment with us at any time and for any reason. ICLC also has the right to end your employment with us at any time and for any reason.

Attach Cover Letter*

Max. file size: 64 MB.

Attach Resume*

Max. file size: 64 MB.

Field Employment Application