Rudolph Libbe Inc. Field Trades Employment Application

To apply, complete this on-line form in its entirety, sign, and submit. If needed, you have the option to stop, save your progress, and resume completion at another time.

Rudolph Libbe Inc. is an equal employment opportunity employer.

TO BE CONSIDERED FOR EMPLOYMENT YOU MUST COMPLETE ALL REQUIRED FIELDS ACCURATELY.

"*" indicates required fields

Name*

First Middle Initial Last

Email*

Phone*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How long have you lived at this address?

Employment Desired

Position Applying For*

Company

Have you previously worked for a Rudolph Libbe Group company?

Company Name & Date

Since you indicated that you previously worked for a Rudolph Libbe Group company, please list the dates and company name above.

Are you a member of a trade union?

Which trade union are you a member of?

Do you have a valid drivers license?

This field is necessary if the job requires use of a vehicle on company business.

Driver's License No.

State

The issuing state of your valid US Driver’s License.

General Information

Are you over the age of eighteen?*

Are you eligible to work in the United States under U.S. Immigration Laws?*

If you know anyone employed by a Rudolph Libbe Group company, please list name(s):

Military Service

Are you a US Military Veteran?*

Branch of Service

Service Dates

Education

High School

High School Name

High School City

High School State

Course of Study

Did you graduate?

College / University

College / University Name

College / University City

College / University State

Course of Study

Did you graduate?

Other Studies

Institution Name

Institution City

Institution State

Course of Study

Did you graduate?

References

List three character references other than relatives.

Reference 1

Name

First Last

The name of your first reference.

Phone

The phone number of your first reference.

Occupation

The occupation of your first reference.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

The address of your first reference.

Reference 2

Name

First Last

The name of your second reference.

Phone

The phone number of your second reference.

Occupation

The occupation of your second reference.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

The address of your second reference.

Reference 3

Name

First Last

The name of your third reference.

Phone

The phone number of your third reference.

Occupation

The occupation of your second reference.

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

The address of your third reference.

Employment History

Begin with last or present employer first.

Employer 1

Employer

Job Title

Supervisor Name / Title

Supervisor Phone

City

State

Zip Code

Starting Date

Pay Rate Start

Ending Date

Pay Rate Ending

Reason For Leaving

Major Duties Performed

Employer 2

Employer

Job Title

Supervisor Name / Title

Supervisor Phone

City

State

Zip Code

Starting Date

Pay Rate Start

Ending Date

Pay Rate Ending

Reason For Leaving

Major Duties Performed

Employer 3

Employer

Job Title

Supervisor Name / Title

Supervisor Phone

City

State

Zip Code

Starting Date

Pay Rate Start

Ending Date

Pay Rate Ending

Reason For Leaving

Major Duties Performed

Do you have any Non-Compete Agreements or Non-Solicitation Agreements in force with previous employers?

If yes, please provide a copy with this employment application.

Drop files here or

Max. file size: 50 MB.

Release and Authorization

Read carefully before signing.

I certify that this application was completed by me and that all entries and information in it are TRUE and COMPLETE to the best of my knowledge. I understand that false, misleading or omitted information in my application may result in the rejection of my application, the revocation of an offer of employment, or discharge. I understand that the Rudolph Libbe Group (“Company”) may require prospective salaried and hourly non-construction trade personnel to complete pre-employment evaluation testing related to the nature of the work. I also understand that if offered employment, I must complete a pre-employment physical examination which includes testing for alcohol and illegal use of drugs. I further understand that the Company will withdraw an offer of employment or otherwise not hire an applicant who tests positive for illegal use of drugs/alcohol. I also understand that if offered employment, I will be subjected to random drug/alcohol screening. I understand that all medical information obtained by the company will be maintained in confidence to the extent required by applicable laws and will not be included in my personnel file.

I authorize the Company to conduct a background investigation of my personal, employment, credit, and criminal histories and other related matters, as may be necessary, in arriving at an employment decision. I hereby release the Company, educational institutions, previous employers, law enforcement agencies and credit agencies from all liability in responding to inquiries relating to this background investigation.

I understand that my employment can be terminated, with or without cause, at any time at the discretion of either the Company or myself. I understand that no management official of the Company, except the President, has the authority to enter into any agreement contrary to the foregoing, or to make any oral assurances regarding benefits or promise of continued employment. I further understand and agree that the development and dissemination of policies, procedures, handbook, or the literature by the Company does not now and will not in the future constitute an expressed or implied contract between the Company and its associates. By typing your name in the Signature line below, you agree to the above Release and Authorization.

Signature