Employment Form

Instructions: PLEASE READ CAREFULLY
All requested information must be furnished. Fill in all spaces accurately and completely. If an item does not
apply to you, or if there is no information to be given, write in the letters "N/A" for "not applicable". Documents
submitted with the Application will not be returned. All information contained in the application is subject to
verification. Any omissions or erroneous statements may be cause for rejection of this application, removal
from eligibility, or discharge from RF Benchmark Construction.

City: 
(Applicants less than 18 years of age may be required to provide proof of age.)
State:
License Number:
Expiration Date:
Note: RF Benchmark Construction will make a motor vehicle operation history inquiry. A poor-driving record may disqualify an applicant from consideration for the position. By submitting this application, you specifically authorize RF Benchmark Construction to make an inquiry of your driving record.

if YES, explain where, when, and reason.
(Conviction will not effect employment decisions unless it specifically relates to the fitness to perform the position.)


EDUCATION
HIGH SCHOOL:
High School Name:
Type of Cert / degree:
COLLEGE:
College Name:
Degree:
Date Received:
Major:
GRADUATE SCHOOL:
Name and Location:
Type of Cert / degree:
Date Received:
Major:
BUSINESS SCHOOL:
Name and Location:

REFERENCES
Give name, address and telephone number of three references. Individuals given as references should
not be related to you and should not be previous employers.

EXPERIENCE
Beginning with your present job (or immediate past job if unemployed) please provide the following
information for the last 10 years, including periods of unemployment and the reasons for the
unemployment. IT IS CRITICAL THAT YOU PROVIDE COMPLETE INFORMATION.
MOST RECENT JOB
From: (Year)
per

SECOND MOST RECENT JOB
From: (Year)
per

THIRD MOST RECENT JOB
Job Title: From: (Year)
per
We are an Equal Opportunity Employer, in compliance with all federal and state laws. This organization is
committed to the policy of equal employment opportunity in recruitment, hiring, career advancement, and
all other personnel practices. Your job related experience and other qualifications will be considered without
discrimination on grounds of race, sex, disability, religion, age, color, national origin or ancestry, or other
factors that cannot be lawfully used as a basis for an employment decisions. All other information provided
in this application will be treated confidentially, and if employed, will be used only to help assure the best
use of your abilities.