Personal Information
Last Name First Name MI
Permanent Address Apartment/Unit
City State Zip
Home Phone
Drivers License Number     
Are you a Citizen of the United States

If not, will you be able to provide documents establishing your legal right to work in the United States?  
Have you ever worked for Raycon Construction? If Yes when?
Are you at least 18 years of age? If you are under 18 you may need to provide a work permit
Position Applying For (Foreman/Carpenter/Laborer) Date Available Desired Amount
Education and Training
Indicate Last Level completed High School College Graduate School
Name of High School, Technical, College City, State Degree Month/Year of Degree
Employment History
Company Name             Street Address
City           State Zip
Starting Job Title            Final Job Title
Supervisor's Name/Title Phone
Reason for Leaving       
Please provide a brief description of your qualifications and past experience
Name Relationship Phone
Name Relationship Phone
Name Relationship Phone
Read Carefully and Sign
I certify that the information contained in this application is correct to the best of my knowledge, and I understand that any misstatement of omission of information is grounds for ending the hiring process or dismissal. I authorize verification of information provided on this application; and authorize the references listed above to give you all pertinent information concerning my previous employment and release all parties from all liability for any damage that may result from furnishing same to Raycon Construction. In consideration of my employment, I agree to conform to the rules and regulations of Raycon Construction LLC. I further agree that either I or the Company may terminate my employment with or without cause and with or without prior notice at any time,. Finally, I understand that no representative of the company other than executive Officer has that authority to enter into any agreement for employment for any specified period of time, or to otherwise alter the foregoing.
Signature   Date